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i <br />The RE 95 CUY/North Olmsted/Signals <br />C/R/S Phase 2 <br />REV. JAN 2007 Parcel 236-05-067 <br />PID 95109 <br />11. <br />Attach an Addendum if more space is needed for inventory. I <br />The parties signing this form understand that all items classified as real property must be present on the property when ODOT <br />takes possession. The amount paid to the owner will be reduced by the value of any items that are not present on the property <br />when POM takes possession <br />Noed uc �'o oU►y 4c�'rmns r F� 4.-h��' <br />�.S'�c°� <br />O <br />Fee Owner: Signature <br />Name Printed:/pi { t'► F�1�,NlIE IV j �lS GDSI <br />C,L vuat A LAND T k— ItoPm -t--r � <br />Date: 14 <br />Tenant/Occupant: Signature: <br />Name Printed: <br />Date: <br />Agent for OT: Signature:�) c <br />C, ' 0 (' ` e4 <br />I o �� v' S Name Printed: (/�1P0 f✓ ,�"� w, g <br />Date: o bd /I, <br />? - <br />Comment area (if needed): <br />Page 2 of 2 <br />