Laserfiche WebLink
SPECIAL EVENT SIGNATURE FORM <br />KKR N 6N S E4-ROSS R ! pC event on <br />Prior to the Commissioners approval of the ( } <br />5q- $f' Z d 1 , (day &date) your request needs to be <br />approved by the appropriate departments affected by the designated route. <br />.Emer enc Management -- 1222 S. Michi an St. 46601- S74 235-9378 <br />email — elainesjcema®gmail.com <br />I have tbetot-etetdgMardihis event and give my approval of the event as stated. <br />I have <br />John Antonucci, Director Date <br />St. Joseph Counij Sheriff - 401 W. Sam le 46601 - 574 245-6540Fax 574 245- <br />6574 <br />I have been contacted regarding this event and give my approval of the event as stated. <br />Michael Grzegorek, C S eriff Date <br />St. Joseph Coun Engineering- 227 W. Jefferson Rm. 732 46601 - 574 235-9626 <br />Fax- 235-5057 I have been contacted regarding this event and give my approval of the <br />event as stated. <br />Jessica J. Clark, P.E., County Engineer Date <br />South Bend Dept. of Public Works - 227 W. Jefferson Rm. 13E 6 - 574 235-9251 <br />Fax - 235-9171 1 have been contacted regarding this event and give my approval of <br />the <br />Karl M. Ao 1e ,PIf.D„P.E., City Engineer <br />Indiana De : ei Trans ortation - 12209 N 1200 W <br />Fax - (219) 325-7516 I have been contacted regarding <br />the event as stated. <br />Date <br />even and give my approval of <br />Mike Hurt, Plymouth District Date <br />Mishawaka Endueerina Department -- 600 E. V St., Mishawaka, 46544 - (574)258- <br />1619 Fax-258-1776 I have been contracted regarding this eventand give my approval of the <br />event as stated. <br />Chris Jamrose, P.E., Mishawaka Engineer Date <br />