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Forms -  Right Of Way, Office Of

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Number: Title: Revision Date: Available Formats

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500  
575-030-02 Representative Authorization  10/2002  Interactive PDF

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575-030-07 Purchase Agreement (with incentive)  06/2010  Word Read-Only PDF

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575-030-07A Purchase Agreement (without incentive)  06/2010  Word Read-Only PDF

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575-030-08 Statement of Offer (with incentive)  06/2010  Interactive PDF Word

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575-030-08A Statement of Offer (without incentive)  06/2010  Word Read-Only PDF

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575-030-12 Donation of Property to FDOT  06/1999  Interactive PDF

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575-030-15 Right of Entry Agreement  06/1999  Interactive PDF

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575-030-16 Closing Statement  02/2007  Interactive PDF

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575-030-17 Application for Payment of Closing Costs  10/2002  Interactive PDF

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575-030-18 Public Disclosure Notice  02/2007  Interactive PDF

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575-030-24 Settlement Approval  06/2010  Word

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575-030-27 Request for Taxpayer Identification Number  08/2009  Interactive PDF

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575-030-30 Trial/Hearing Report  04/2010  Interactive PDF

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575-030-31 Notice to Owner  10/2000  Other Site

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575-030-32 Notice to Owner - Spanish  10/2000  Other Site

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575-030-33 Notice to Business Owner  02/2005  Other Site

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575-030-34 Notice to Business Owner - Spanish  02/2005  Other Site

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575-030-36 Invoice for Protective Rent Payment  12/2012  Interactive PDF

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575-040-01 Business Survey Questionnaire  08/2012  Interactive PDF Word

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575-040-02 Household Survey Questionnaire  08/2012  Interactive PDF Word

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575-040-03 Statement of Eligibility for Supplementary Replacement Housing Payment for 90  08/2005  Other Site

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575-040-03S Statement of Eligibility (SPANISH) for Supplementary Replacement Housing Payment for 90-D  08/2005  Other Site

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575-040-04 Relocation Assistance Costs  09/2001  Interactive PDF Word

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575-040-05 Replacement Housing Payment Determination Three Comparables Method  05/2003  Interactive PDF Word

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575-040-06 Statement of Eligibility for Supplementary Replacement Housing Payment for Own  03/2003  Other Site

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575-040-06S Statement of Eligibility (SPANISH) for Supplementary Replacement Housing Payment for 180-d  03/2003  Other Site

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575-040-08 Hazardous Substance Letter  03/2003  Other Site

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575-040-09 90-day Letter of Assurance  03/2003  Other Site

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575-040-09S 90-Day Letter of Assurance (SPANISH)  03/2003  Other Site

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575-040-10 Replacement Housing Payment Transaction Package  09/2009  Interactive PDF Word

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575-040-11 30-day Notice to Vacate  03/2003  Other Site

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575-040-11S 30-Day Notice to Vacate (SPANISH)  03/2003  Other Site

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575-040-12 Income Certification  07/2005  Interactive PDF Word

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575-040-13 Replacement Housing Questionnaire/ Certification  05/2003  Interactive PDF Word

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575-040-14 Application and Claim for Replacement Housing Payment  01/2014  Interactive PDF Word

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575-040-15 Move Cost Estimate  08/2005  Interactive PDF Word

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575-040-16 Search Expense Itemization  08/2005  Interactive PDF Word

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575-040-17 Personal Property Inventory  05/2003  Interactive PDF Word

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575-040-20 Moving Expense Calculation and Payment Determination  08/2010  Interactive PDF Word

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575-040-21 Moving Cost Transaction Package  09/2009  Interactive PDF Word

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575-040-22 Direct Payment Agreement  05/2003  Interactive PDF Word

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575-040-23 Application and Claim for Reimbursement of Moving Costs  04/2003  Interactive PDF Word

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575-040-24 Warrant Acknowledgement  09/2014  Interactive PDF Word

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575-040-25 Relocation Payment Appeal  04/2003  Interactive PDF Word

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575-040-26 Trip Log for Reimbursement of Search Cost  05/2003  Interactive PDF Word

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575-040-27 Labor Cost Worksheet  05/2003  Interactive PDF Word

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575-040-28 Owned Equipment Usage and Charges  05/2003  Interactive PDF Word

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575-040-30 Notice of Eligibility Nonresidential/ Signs  06/2009  Other Site

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575-040-30S Notice of Eligibility Nonresidential Signs (SPANISH)  03/2003  Other Site

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575-040-31 Notice of Eligibility Residential  06/2009  Other Site

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575-040-31S Notice of Eligibility Residential (SPANISH)  09/2005  Other Site

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575-040-33 Notice of Claim Denial/Right to Appeal  03/2003  Other Site

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575-040-34 Notice of Eligibility - Personal Property Move Only  06/2009  Other Site

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575-040-39 Mobile Home Bill of Sale  04/2011  Word Read-Only PDF

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575-040-39S Mobile Home Bill of Sale (SPANISH)  04/2011  Word Read-Only PDF

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575-040-40 Letter of Abandonment  04/2011  Word Read-Only PDF

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575-040-40S Letter of Abandonment (SPANISH)  04/2011  Word Read-Only PDF

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575-040-41 Notice of Potential Displacement (Non-Residential)  04/2011  Other Site

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575-040-41S Notice of Potential Displacement (Non-Residential) (SPANISH)  04/2011  Other Site

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575-040-42 Notice of Potential Displacement (Residential)  04/2011  Other Site

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575-040-42S Notice of Potential Displacement (Residential) (SPANISH)  04/2011  Other Site

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575-040-43 Rescission of Relocation Assistance Eligibility  04/2011  Word Read-Only PDF

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575-040-43S Rescission of Relocation Assistance Eligibility (SPANISH)  04/2011  Word Read-Only PDF

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575-040-44 Notice of Intent to Acquire  04/2011  Other Site

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575-040-44S Notice of Intent to Acquire (SPANISH)  04/2011  Other Site

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575-040-45 Request for Negative Equity Waiver  06/2014  Word Read-Only PDF

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575-040-46 Negative Equity Contract Clause  06/2014  Word Read-Only PDF

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575-060-01 Property Inventory  05/2001  Interactive PDF Word

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575-060-02 Cash Receipt Form  05/2001  Interactive PDF Word

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575-060-03 Affidavit  05/2001  Interactive PDF Word

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575-060-04 Demolition and Removal Contract Minus Contract  08/2004  Interactive PDF Word

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575-060-05 Demolition and Removal Contract Plus Contract  08/2004  Interactive PDF Word

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575-060-06 Performance Bond (Surety)  08/1998  Interactive PDF Word

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575-060-07 Contract Completion Report  05/2001  Interactive PDF Word

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575-060-08 Asbestos Abatement Contract  08/2004  Interactive PDF Word

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575-060-09 Field Inspection  05/2001  Interactive PDF Word

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575-060-10 Performance Bond (Cash)  08/1998  Interactive PDF Word

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575-060-11 Release & Notice of Non-friable Asbestos Containing Materials Temp. Leased/Occupi  05/2001  Interactive PDF Word

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575-060-12 Collection Form  05/2001  Interactive PDF Word

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575-060-13 Non-collusion Declaration and Compliance with 49 CFR 29.  05/2001  Interactive PDF Word

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575-060-16 Affidavit "Asbestos Abatement"  05/2001  Interactive PDF Word

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575-060-17 Release and Right of Entry Agreement for Asbestos Survey  05/2003  Interactive PDF Word

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575-060-17S Release and Right of Entry Agreement for Asbestos Survey (SPANISH)  05/2003  Word

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575-060-18 Release and Notice of Non-friable Asbestos Containing Materials (ACM)  05/2001  Interactive PDF Word

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575-060-19 Release and Notice of Friable Asbestos Hazard  05/2001  Interactive PDF Word

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575-060-22 Radon Gas Notification  05/2001  Interactive PDF Word

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575-060-22S Radon Gas Notification (SPANISH)  05/2001  Word

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575-060-31 Proposed Lease Notification  05/2001  Interactive PDF Word

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575-060-32 Airspace Agreement  08/2009  Interactive PDF Word

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575-060-32S Airspace Agreement (SPANISH)  08/2012  Word

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575-060-33 Lease Agreement  08/2009  Interactive PDF Word

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575-060-33S Lease Agreement (SPANISH)  08/2009  Word

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575-060-34 Initial O and M Management Plan Review  05/2001  Interactive PDF Word

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575-060-35 Initial Building Survey Review  05/2001  Interactive PDF Word

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575-060-36 Initial Abatement Technical Specification Review  02/2002  Interactive PDF Word

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575-060-37 Radon Gas Notification and Disclosure of Lead-based Paint Hazards Warning  05/2001  Interactive PDF Word

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575-060-37S Radon Gas Notification and Disclosure of Lead-based Paint Hazards Warning (SPANISH)  05/2001  Word

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575-070-01 Outdoor Advertising Permit Tag Replacement Request  06/2009  Word Read-Only PDF

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575-070-02 Outdoor Advertising License Application  10/2006  Word Read-Only PDF

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575-070-04 Application for Outdoor Advertising Permit  - Form Instructions 02/2009  Word Read-Only PDF

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575-070-08 Notice of Non-payment  03/1996  Interactive PDF

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575-070-12 Outdoor Advertising Permit Cancellation Certification  10/2006  Word Read-Only PDF

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575-070-18 Application to Place Banners on Non Limited Access Right of Way  08/2008  Word Read-Only PDF

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575-070-21 Application to Place Official Markers on Non Limited Access State Right of Way  10/2010  Word Read-Only PDF

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575-070-25 Outdoor Advertising Permit Transfer Affidavit  10/2006  Word Read-Only PDF

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575-070-32 Logo Permit Transfer Request Form  07/2008  Word Read-Only PDF

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575-070-33 Logo Wait List Transfer Request Form  07/2008  Word Read-Only PDF

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575-070-34 Logo Sign Permit Application  12/2009  Word Read-Only PDF

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575-070-35 Logo Application (FL-463)  03/2012  Other

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575-095-05 Right of Way Certification  11/2012  Interactive PDF

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600  
650-050-06 Application to Permit Vegetation Management at Outdoor Advertising Signs  06/2014  Interactive PDF

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