ODOT RE 215 Rev. 10/2017	TEVS LPA Pmt. by State

Temporary Easement

*Name of Grantor(s)*, the Grantor(s), in consideration of the sum of *Amount*, to be paid by the State of Ohio, Department of Transportation, in the name of and for the use of *Name Of LPA*, the Grantee, Choose an item. grant to Grantee, the temporary easement(s) to exclusively occupy and use for the purposes mentioned in Exhibit A the following described real estate:

PARCEL(S): *Nos. of all temporary easement parcels being transferred*-*Suffix(s)*
CTY*RTE*SEC

See Exhibit A Attached

*County* County Current Tax Parcel No. *APN*

Prior Instrument Reference: *Volume, Page, OR, Microfiche, etc*, *County* County Recorder’s Office.

To have and to hold the temporary easement(s), for the aforesaid purposes and for the anticipated period of time described below, unto the Grantee, its successors and assigns.

The duration of the temporary easement(s) granted to the Grantee is *No. of months* months immediately following the date on which the work described above is first commenced by the Grantee, or its duly authorized employees, agents, and contractors.

The property conveyed to Grantee is being acquired for one of the statutory purposes for which the Director of Transportation may acquire property under Title LV of the Revised Code, such as, but not limited to, those purposes enumerated in Sections 5501.31 and 5519.01 of the Revised Code.

UNPROTECT FORM TO USE QUICK PART BUTTON FOR ACKNOWLEDGEMENT FORMS RE 244-I THROUGH RE 249-I FOR THE CORRECT FORM OF THE SIGNATURE BLOCK FOR EACH OWNER, AND INSERT AS NEEDED

DELETE THESE INSTRUCTIONS UPON FORMATTING EACH OWNER’S

SIGNATURE BLOCK

Choose a acknowledgement.

Choose a acknowledgement.