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Prepared BV Title of Preparer <br /> Paul Caswell City Engineer <br /> Submitted/Approved <br /> Local Public Agency Signature&Date <br /> Digitally signed by Paul Caswell <br /> BY: P a u l C a S W e l pate:2024.07.08 15:09:39 <br /> -05'00' <br /> Title: City Engineer <br /> For a Road District project County Engineer signature required. <br /> County Engineer/Superintendent of Hi hwa sSi nature&Date <br /> Approved: <br /> Illinois Department of Transportation <br /> Regional Engineer Signature&Date <br /> a. &A wA4A <br /> l 1 <br /> IDOT;Department Use On <br /> y ` <br /> Received Location Received Date Additional Location? <br /> El <br /> WMFT Entry By Ent Date <br /> Completed 07/10/24 Page 2 of 2 BLR 13210(Rev. 10/20/23) <br />