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R <br />SPECIAL EVENTS GUIDELINES SIGNATURE FORM <br />Prior to the Commissioners approval of the STP-' D« �e vFiz �r101 (event) on <br />1 lrl y. a�' �G� , (day & date) your request needs to be <br />approved by the appropriate departments affected by the designated route. <br />Emerangy Management —1222 S. Michigan Street 46601 574 235-9378 <br />Email — elainesjcema@gmail.co I have been contacted regarding this event and give my <br />approval of the event as stated. <br />John Antonucci, Director Date <br />St. Joseph County Sheriff- 401 W. Sample 46601 - (574) 245-6540 Fax- (574) 245-6574 <br />I haAe been co cted 9:9din g this event nd give any approval oft e event as stated <br />Michael Grzegorek, County heriff Date <br />St. Joseph County EnffineerinL, - 227 W. Jefferson Rm. 73146601 - (574) 235-9626 Fax <br />— (574) 235-50571 have been contacted regarding this event and give my approval of the <br />event as stated. <br />Jessica J. Clark, P.E., County Engineer <br />Date <br />South Bend Dept. of Public Works - 227 W. Jefferson Rm. 1316 - 574 235-9251 Fax <br />— (574) 235-9171 1 have been contacted regarding this event and give my approval of the <br />event as stated. <br />Kara M. Boyles, Ph.D., P.E. City Engineer Date <br />Indiana Dept. of Transportation —12209 N 1200 W Monticello IN 47960 - 219 851-1426 <br />Fax — (219) 325-75161 have been contacted regarding this event and give my approval of the <br />event as stated. <br />Mike Hurt, Plymouth District Date <br />Mishawaka Engineering Department 600 E. 3 rd St., Mishawaka, 46544 - (574)258-1619 <br />Fax- (574) 258-17761 have been contracted regarding this event and give my approval of the <br />event as stated. <br />kris Jamrose, P.E., Mishawaka Engineer Date <br />