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T- 23 % <br />(2-87) <br />OH14 DEPARTMENT OF TRANSPORTATION <br />REQUEST FOR APPROVAL OF A TRAFFIC <br />CONTROL SIGNAL OPERATION PLAN <br />To: Engineer of Traffic <br />Date <br />c/o District Deputy Director <br />District 12 <br />5500 Transportation Blvd. <br />Garfield Hts., Ohio 44125 <br />The traffic control signal we have proposed for the intersection of Outerbel t EaS t Street <br />(State Route T 271 SR ) and Wilson Mills Street (StxffiWWQYe 73 ) would <br />function in accordance with the attached operation plan dated County ROSd <br />Village of Mayf ield <br />County ot Cuyahoga <br />(Signature of Elected Official) <br />OPERATIOP? 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 Traffic <br />CERTIFICATION <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