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T- 23 <br />`2-87', .OH10 DEPARTMENT OF TRANSPORTATION <br />REQUEST FOR APPROVAL OF A TRAFFIC <br />CONYROL SIGNAL OPERATIO'N PLAN <br />Date <br />To: Engineer of Traftic <br />c/o District Deputy Director <br />District 12 <br />5500 Tr.ansportation Blvd. <br />Garfield Hts., Ohio 44125 <br />The traffic control signal we have proposed for the intersection of Outerbelt E3St Street <br />(State Route T 271 SB ) and Wilson Mills Street (93VA)RUM 73 ) would <br />function in accordance with the attached operation plan dated Count Road . <br />village of Mayf ield <br />County of <br />Cuyahoga (Signature of Elected O(ficial) <br />OPERATION PLAN APPROVAL <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. <br />- Explanation of Approval With Modification - <br />Date <br />Engineer of Trattic <br />CERTIFICATION <br />- Upon completion of the installation/moditication as specified in the approved <br />operation plan, fill in the certification below and return the attached copy to <br />the D,istrict 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 />'fitle