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Maricopa County Department of Transportation Real Estate Division 2801 West Durango Street • Phoenix, Arizona 85009-6399 Telephone (602) 506-1421 • Fax (602) 506-4161 RELOCATION ASSISTANCE ENTITLEMENTS "Authorization for Payment Form" 1. Project Name TT429 Riggs Road (Recker Road to Power Road) 2. Item No. D22934 3. Name of Relocatee San Tan Irrigation District — Well Relocation 4. Type of Property a. Dwelling El b. Business N Well Relocation c. Non-Profit Organization 5. Owner N San Tan Irrigation District 6. Tenant 7. Relocation Reimbursement Entitlement of: $1,600,000.00 RECOMMENDED FOR APPROVAL: ACCEPTED AND APPROVED: MARICOPA COUNTY DEPARTMENT OF BOARD OF SUPERVISORS OF TRANSPORTATION MARICOPA COUNTY 4,ky II /30/ROL: Acquisition Manager, Date Chairman of the Board Real Estate Division ATTEST: APPROVED AS TO FORM and within Clerk of the Board the powers and authority granted under the laws by t1),e \Stat of Arizona and Maticopa\County: Date: Deputy County Attorney Date 2801 West Durango Street Phoenix, Arizona 85009 Phone: 602-506-1421 Fax: 602-506-4161