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SPECIAL EVENTS GUIDELINES SIGNATURE FORM <br />Prior to the Commissioners approval of the <br />��Rti�?�6, (event) on <br />5 �N j9 , (day & date) your request needs to be <br />approved by the appropriate departments affected by the designated route. <br />Emer enc lvlana e�,GuL <br />Email — claines'cema mail.co I have been contacted regarding this event and give my <br />approval of the event as stated. <br />John Antonucci, Director <br />Date <br />e� 11A . LC AA -u..,_ r5,7m?.45-6574 <br />St. Jose h C un Sheriff- 401 W. Nam ie'haovI - <br />tng. th'ev�'t and give any approval of the event as stated. <br />Michael Grzegorek, County Sheriff Date <br />St. Jose h Coun En ineerin - 227 W. Jefferson Rm. 732.46601 <br />t and 60 e Y7approval of the Fax <br />— (574) 235-50571 have been contacted regarding thisg <br />event as stated. <br />Jessica J. Clark, P.E., County Engineer <br />Date <br />South Bend De t. of Public Works - 227 W. Jefferson Rm. 1316- 57� 3 <br />ax <br />— (574) 235-9171 1 have been contacted regarding this event and g ive m approval of the <br />event as stated. <br />Kara M. Boyles, Ph.D., P.E. City Engineer Date <br />Indiana De t. of Trans ortation —12209 N 1200 W Monticello IN 47960 - 219 851-1421 <br />Fax — (219) 325-75161 have been contacted regarding this event and give my approval of the <br />event as stated. <br />Date <br />Mike Hurt, Plymouth District <br />Mishawaka En ineerin De artment — 600 E. 3 `� Shit. event <br />Mishawaka an� give approval of the <br />Fax- (574) 258-17761 have been contracted regarding this g <br />event as stated. <br />Chris Jamrose, P.E., Mishawaka Engineer <br />Date <br />