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Fill and Sign the Statement of Property Owners Rights Iowa Department of Form

Fill and Sign the Statement of Property Owners Rights Iowa Department of Form

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1 AGREEMENT FOR VOLUNTARY RIGHT OF WAY DONATION PROJECT NO: COUNTY: PARCEL NO: This agreement made and entered into this day of , 20   by and between County acting by and through the County Commission, hereinafter referred to as COUNTY, and   , whose postal address is , , hereinafter referred to as DONOR. WHEREAS, COUNTY needs the following easements for construction, operation and maintenance of a highway: Perpetual Easement: Temporary Easement: NOW THEREFORE, DONOR understands his/her right to have an appraisal prepared and his/her right to receive just compensation for the above described perpetual and/or temporary easement in accordance with the Uniform Relocation Assistance and Real Property Acquisition Act of 1970, as amended. DONOR does hereby voluntarily grant and donate to COUNTY, for and in consideration of and other good and valuable consideration, the adequacy of which is hereby acknowledged by DONOR, the above described easements as shown on the plans for construction of the above cited PROJECT. Stipulations of conditional donation: DONOR agrees that the erection of fences, structures or obstacles within the perpetual easement will not be permitted. DONOR grants permission to COUNTY or COUNTY’S agent to enter upon above described easement upon approval of this AGREEMENT. The perpetual easement shall be in effect until the highway is abandoned by proper action of the County Commission and the temporary easement shall be in effect until construction of the project is completed. IN WITNESS WHEREOF, the parties hereto have caused this AGREEMENT to be executed. Attest: By: County Auditor Donor By: By: STATE OF 2 COUNTY OF On this day of in the year of , before me,   , a Notary Public within and for said County and State, personally appeared known to me to be the person(s) described in and who executed the foregoing instrument and acknowledged to me that he executed the same for the purpose therein stated. My Commission Expires: Notary Public

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