Free 53681.xls - Indiana


File Size: 444.6 kB
Pages: 1
Date: July 18, 2008
File Format: PDF
State: Indiana
Category: Government
Author: sbundy
Word Count: 286 Words, 1,820 Characters
Page Size: Letter (8 1/2" x 11")
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http://www.state.in.us/icpr/webfile/formsdiv/53681.pdf

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LIMITED ACCESS FENCE REMOVAL COVENANT
State Form 53681 (7-08) Indiana Department of Transportation

The following shall become a part of the Indiana Department of Transportation right-of-way permit. In consideration for INDOT granting right-of-way permit tracking number limited access right-of-way fence along the property frontage on highway number and for the removal of and as described in

Attachment "A", INDOT in its sole discretion may require OWNER and his/her successors, or assigns to install the limited access fence at the above location if INDOT determines that reconstruction of the fence is necessary. The OWNER shall

reconstruct the fence in accordance with the current INDOT standards at no expense to INDOT. The reconstructed fence shall become the property of INDOT. The removal of the fence is a benefit to the property. The parties intend this covenant to run with the land and be binding upon parties and all persons claiming under them.

Owner's Name - Print or Type District Regulatory Supervisor Signature Address (number and street) District Deputy Commissioner City Telephone OWNER ACKNOWLEDGMENT State of , County of ,SS: State Zip

Before me, the undersigned Notary Public in and for the said County Personally appeared
and acknowledged

(Name of Signer) the execution of the foregoing covenant on this day of month of 20 ,

Witness my hand seal the said last named date. My commission expires:
Notary Public

County of Residence

INDOT ACKNOWLEDGMENT State of , County of ,SS:

Before me, the undersigned Notary Public in and for the said County Personally appeared and acknowledged (Name of Signer) the execution of the foregoing covenant on this day of month of 20 ,

Witness my hand seal the said last named date. My commission expires: Notary Public

County of Residence