Applicant Field Contact Person

Applicant Field Contact Person

<p> Utility Facility Description</p><p>Applicant Field Contact Person Field Contact Phone Number Applicant Reference (WO) Number Permit/Franchise No.</p><p>State Route Highway Scenic Class Access Control Begin MP End MP Reference MP Distance and Direction (From nearest reference MP)</p><p>Facility Description</p><p>Facility Detail</p><p>Lt/ Offset Distance Description R/W Remarks MP to MP Rt/ Width Including Pertinent Topography Info. (Turnouts, Xing From From Depth/ Road Approaches, Intersections, Cut, Fill, Culvert, Centerline Traveled Height D1 Items to be Installed / Constructed Left Right Guardrail, etc.) Xing Technique, Control Zone Objects, Way Enter-Leave R/W</p><p>Exhibit “B” Page ____ of ____ Pages</p><p>MS Word simulation of DOT Form 224-697 EF Current as of 7-1-99 Utility Facility Description - Continued</p><p>Applicant Field Contact Person Field Contact Phone Number Applicant Reference (WO) Number Permit/Franchise No.</p><p>Facility Detail</p><p>Lt/ Offset Distance Description R/W Remarks MP to MP Rt/ Width Including Pertinent Topography Info. (Turnouts, Xing From From Depth/ Road Approaches, Intersections, Cut, Fill, Culvert, Centerline Traveled Height D1 Items to be Installed / Constructed Left Right Guardrail, etc.) Xing Technique, Control Zone Obj., Way Enter-Leave R/W</p><p>Exhibit “B” Page ____ of ____ Pages</p>

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