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Page Title:
Crossing Evaluation Report -Cont. |
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|  FORM 7 (cont.)
AAR/DOT NO.
PROPOSED COST APPORTIONMENT
YES
NO
TYPE OF
PROPOSED FUNDING
WORK TO BE
IMPROVEMENT
PERFORMED BY
FED.
STATE
LOCAL
R.R.
OTHER
SIGHT
IMPROVEMENT
CROSSING SURFACE
HIGHWAY TRAFFIC
SIGNS
CROSSING SIGNALS
CROSSING CLOSURE
OTHER
SIGNATURES OF ACCEPTANCE
STATE REPRESENTATIVE:
TITLE:
DATE:
R.R. REPRESENTATIVE:
TITLE:
DATE:
LOCAL REPRESENTATIVE:
TITLE:
DATE:
FMWA REPRESENTATIVE:
TITLE:
DATE:
TITLE:
DATE:
DR FORM 153, Apr 83 (page 5)
B-13
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