Review Of Permit Request Form For Warning Signs Or School Signs With Flashing Beacons & Speed Limit Feedback Signs On State Right Of Way Page 2

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Return Completed Form to the District Permit Specialist at the DOTD District Office where subject property is located.
DEPARTMENT OF TRANSPORTATION & DEVELOPMENT USE ONLY
Date Request Received
__________________________
Date Owner Contacted _____________________________
(Owner should be contacted within 14 business days of date request is received.)
District ______________________________
Request Processed By _____________________________
(District Permit Specialist)
District Personnel to Review
Comments:
District Traffic Operations Engineer
(Print & Initial)
Date
Phone #
email:
Area Engineer
(Print & Initial)
Date
Phone #
email:
Notification of Receipt Sent to Applicant by
Date
(with or without comments or resubmission instructions)
Denial Letter Sent to Applicant by
Date

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