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Donation of Property to the Florida Department of Transportation2G23 - 3Z7 3� 575-030-12 RIGHT OF WAY OGC - 04/22 Florida Department of Transportation RON DESANTIS Otlice of Right of Way JARED W. PERDUE, P.E. GOVERNOR 1000 NW I I Ith Avenue. Room (,105-13 SECRETARY Miami, FL 33172 Donation of Property to the Florida Department of Transportation June 27, 2023 City of Miami Beach 1700 Convention Center Drive Miami Beach, FI 33139 ITEM/SEGMENT NO MANAGING DISTRICT F.A.P. NO.: STATE ROAD NO.: COUNTY: PARCEL NO.: INTEREST CONVEYED 443931-1 6 N/A AlA/Collins Avenue from 44 Street to 4700 Block and along Indian Creek from 41 Street to 44 Street. Miami Dade 800 Perpetual Easement This is to advise that the undersigned, as owner of the property or property interest referenced above and as shown on Right of Way maps for referenced project, desires to make a voluntary donation of said property or property interest to the State of Florida for the use and benefit of the Florida Department of Transportation. The undersigned hereby acknowledges that he/she has been fully advised by a Department representative of his/her right to have the referenced property or property interest appraised, to accompany the appraiser during the appraisal inspection of the property, to receive full compensation for the above referenced property, and to receive reimbursement for reasonable fees and costs incurred, if any. Having been fully informed of the above rights, I hereby waive those rights unless otherwise noted below. 7 Own Signature / Alina T. Hudak, City Manager City of Miami Beach, Florida Type or Print Property Owner's Name 1700 Convention Center Drive Miami Beach, Florida 33139 Street Address City, State, Zip Code Date APPROVED AS TO FORM & LANGUAGE & FOR EXECUTION _�.Dote