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T-23 , <br />`2-87. OHIO DEPARTIVIE-NT OF l'RA6VSPORTATION <br />REQUEST FOR APPROVAL OF A TRAFFIC <br />CONTROL SIGNAL OPERATION PLAN <br />Date I, I bI `I <br />To: Engineer of Tra(fic <br />c/o District Deputy Director <br />District 12 <br />5500 Transportation Blvd. <br />Garfield Hts., Ohio 44125 <br />The trafiic control signal we have proposed for the intersection of Outerbelt EaS t Street <br />( ]i 73 ) would <br />(State Route I 271 NB ) and Wilson Mills Street <br />function in accordance with the attached operation plan dated 10unty 03 <br />village of Mavf ield <br />County of <br />Cuyahoga (Signature o( Elected Of(icial) <br />OPERATION PLAN APPRONAL <br />The operation plan has been approved/approved with modification (see explanation of modification below) and <br />permission is hereby granted to proceed with the installation. - Explanation of Approval With Modification - <br /> <br />Date <br />Engineer of Traflic <br />CERTIFICAYION <br />Upon completion of the installation/modification as specified in the approved <br />operation plan, fill in the certification below and return the attached copy to <br />the District Deputy Director. <br />I hereby certify that the Village of has installed/ <br />modified and will operate the above described traffic control signal in <br />accordance with the approved operation plan and OMUTCD standards. This <br />signal was placed in operation on . <br />Signed <br />Date <br />Title _