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-�� �— � <br /> , <br /> , � T . { � . , r • <br /> , ' i � <br /> illinois Departmert <br /> of Transportation Utility Permit <br /> IDOT Permit No. 5-27283 <br /> Utility Reference No. <br /> I (We) Citv of Decatur , 1 Gary K. Anderson Plaza <br /> Name of Applicant Mailing Address <br /> Decatur , Illinois 62523 , hereinafter termed the Permittee, <br /> City State&Zip <br /> request permission and authority to occupy, and to do certain work herein described on, the right-of-way of the State highway <br /> known as Illinois Route 10�,,, , Section 48X-Z(W.RS) 128(W-1.RS-2) , <br /> from 44+50 (Frontaae Rd.) t� Edae of State ROW �� Macon County. The work <br /> is described in detail below and/or on the attached sketch or plans. <br /> Type of Work: Erection of a fence along a Frontage Rd. ROW located in the�_ N:W. ,corner of Illinois Rt. 105 and US 51 at <br /> Lake Decatur in Decatur, Illinois. <br /> "'See also attached permit provisions,traffic control, sketches and IDOT "as built" plan sheets. <br /> The work authorized by this permit shall be completed within 90 days after the date of approval by the Department, <br /> otherwise the permit will be considered null and void. <br /> This permit covers the operation and presence of specified equipment, material or facility on the right-of-way which may be <br /> related to the authorized work. <br /> This permit is subject to conditions and restrictions of Part 530 of Title 92 of the Illinois Administrative Code, Accommodation <br /> of Utilities on ht-of-Way of the Illinois tate Highway System. <br /> t � ��� ��ti�c.�'?-_ /z�23�9'3 <br /> � <br /> Signature,City Clerk Date Signature,Decatur Public Works Director Date <br /> City of Decatur <br /> Name of Permittee(Print or Type) Name of Permittee(Print or Type) <br /> 1 Gary K. Anderson Plaza <br /> Mailing Address Mailing Address <br /> Decatur IL 62523 <br /> City State Zip City State ZiP <br /> Submit the required number�' of copees of this application to the appropriate District Office. <br /> This permit allowing occupancy and work on state right-of-way is hereby approved on this � day <br /> `--,_" <br /> of ���.Q4�7 Z��'�''� . <br /> Month/Year <br /> Department of Tra sportatio���'''� <br /> *Contact the appropriate District Office <br /> OPER 1113(Rev.8/97) <br />