FEDERAL AID RIGHT-OF-WAY QUESTIONNAIRE

			State Contract No:

			Federal Aid Project No.:

			Description:

1.	This is to certify that additional right-of-way (    ) is or was (    ) is not or was not required for this project.

2.	If the answer to No. 1. is "right-of-way is or was required":	
	A. Has any right-of-way been acquired as of this date Y (  ) 	N (  )
	B. If 2A. is yes, when was the first parcel acquired?

	C. If 2A. is yes, have all parcels been acquired? Y (  ) 	N (  )
	    If 2C. is yes, when was the last parcel acquired?	

D. If 2A. is yes, was the Uniform Relocation Assistance and Acquisition Act complied with?
    (Ask Office of Real Estate-SHA) Y (  )	  N (  )
	E. What is the total estimated number of parcels involved?

3.	When was the decision to obtain Federal funds for this project?  

4.	Is right-of-way being acquired with FEDERAL FUNDS?  Y (  ) 	 N (  )

5.	Who is acquiring the right-of-way?  SHA (    )  	Local Government (    )

6.	What is needed from the SHA? (e.g. SHA to perform appraisals? do relocation? purchase right-of-way? etc.) Please explain.

7.	What is the probable ad date for the CONSTRUCTION project?

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Signature & Title

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