3. TabsOnLeft

Request for Eminent Domain Proceedings

ROWAPS Revision Date, if any - brief description of revision

 

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General Information

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I. Nature of Taking:

B. Extent of Taking:

C. If the taking is partial, is there any denial of access to remainder property?

D. If there is a denial of access, is the denial partial or total?

E. Type of Location:

Note: Field notes must clearly address any restriction on access, or an access addendum clarifying such restriction must be prepared and attached to the field notes.

Is this on a toll road?

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II. Holders of Property Interests to be Joined as Parties, along with each party's attorney, if any:

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III. Holders of Property Interests Not to be Joined as Parties (List any entity in the title commitment that has not been joined and the reason[s] why not joined):

Entity:

Reason:

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IV. Taxing Agencies: (Whole Taking Only)

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V. Special Clauses Exhibit addressing Bisected Improvements should be included with the field note property description, in addition to any necessary Access Denial addendum:

A. Bisected Improvement(s):

B. Property Rights to be Retained by Owner:

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VI. Timing of Proceedings (Month and Year)

C. Has Possession and Use Agreement (PUA) been signed?

D. If signed, is there any additional language included in the PUA that is different from the original form?

Steps 8 of 12

VII. Appraisals

A. Original Appraiser(s) and Value(s):

1.

Name:

Value:

2.

Name:

Value:

3.

Name:

Value:

C. Recommended Appraisal Witness(es):

1.

Name:

Value:

2.

Name:

Value:

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VIII. Environmental

Are there any known underground storage tanks or possible contaminants?

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IX. Attached Documents (See Form ROW-E-SubCheck Eminent Domain Package for the list of required PDF portfolio documents)

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X. Remarks (Continue on attachment if necessary)

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XI. Contacts for use by assigned AAG - including tel. number(s),email addresses, and physical addresses for all three contacts: