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K Illinois Department <br /> of Transportation HIGHWAY PERMIT <br /> � IDOT Permit No. 5-28364 <br />, I (We) City of Decatur #1 Ga K. Anderson Plaza <br /> ry <br /> (Name of Applicant) � (Mailing Address) <br /> Decatur Illinois 62523-1196 hereinafter termed the Applicant, <br /> (C�ry) (State) <br /> request permission and authority to do certain work herein described on the right-of-way of the State highway <br /> known as ' Route '' , Section ' , <br /> from '' to ` <br /> Macon County. The work is described in detail below and/or on the attached permit provisions, <br /> traffic control standards, highway standards, and plan sheets. <br /> 'lllinois Route 48 (F.A.P. Route 716), Section 130(W,RS), from Highway Station 53+45 to Highway Station 54+76 <br /> Illinois Route 121 (F.A.P. Route 320), Section 138 RS-1, from Highway Station 21+460 to Highway Station 21+472 <br /> Remove and relocate existing water valves on Illinois Route 48 (Fairview Avenue) at King Street and on Illinois Route 121 I <br /> (22nd Street) south of Damon Avenue. I <br /> Patching of the existing pavement shall be coordinated with Mr. Gary L. Larson, Maintenance Field Technician, at II <br /> telephone number 217-875-4181 � <br /> This permit covers the operation and presence of specified equipment, material, or facility on the right-of-way which may <br /> be related to the authorized work. <br /> It is understood that the work authorized by this permit shall be completed 120 days after the date this <br /> permit is approved, otherwise the permit becomes null and void. <br /> This permit is hereby accepted and its provisions agreed to this day of , <br /> Witness Signed <br /> Applicant <br /> Mailing Address Mailing Address <br /> City State City State <br /> SIGN AND RETURN TO: District Engineer I.D.O.T., 13473 IL Hwy. 133; P. O. Box 610; Paris Illinois 61944-0610 <br /> Approved this day of , <br /> THIS PERMIT IS NOT IN EFFECT UNTIL SIGNED <br /> BY THE APPLICANT AND APRPOVED BY THE <br /> DISTRICT ENGINEER. <br /> DEPARTMENT OF TRANSPORTATION <br /> . By: <br /> District Engineer <br />