HomeMy WebLinkAboutIowa DOT-Adopt-A-Highway Application-02.23.2009 1.
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4�Iowa Department of Transportation
RENEWAL OF ADOPT-A-HIGHWAY APPLICATION
Addendum to Permit Number 07-2807-022
Highway No. 63
County Black Hawk
From Milepost 156.5 to Milepost 158.5
This addendum shall remain in force from January 1, 2009
to January 1, 2011
Cedar Valley Lions Club Jim Gephart
Sponsor(Please print or type) Contact person(Please print or type)
1254 Clark Drive,Cedar Falls,IA 50613
Address(Contact person)
(319 ) 266-7257 (Days) (319 ) 266-7257 (Evenings)
Telephone No. (Contact person)
.7 Date / , 2009
Si ture of applicant/co tact person
1 Approval of City(if proposed work is within an incorporated town or city, the Council of said town or city must grant
approval of this request prior to Department taking final approval action).
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Title Metya
Date
Area Maintenance Manager
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