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[Insert Date]
Cindy Flower, P.E., Project Manager
WisDOT Southeast Region
P.O. Box 798
Waukesha, WI 53187-0798
RE:Petition in Opposition of “Potential permanent Clover Rd bridge removal”
DOT Project ID 3839-03-03
Dear Ms. Flower:
Enclosed herewith is a Petition in Opposition of “Potential permanent Clover Rd bridge removal” as presented as a traffic impact alternative for DOT Project ID 3839-03-03, US 12 Bridge Rehabilitation, Bridge Maintenance, Walworth County, Wisconsin.
Additionally enclosed are our respective communities Resolutions that were approved on December 11, 2017.
Please submit these documents in your official capacity to the Wisconsin Department of Transportation for incorporation into the project’s public comment records and distribute them to all parties that have decision making authority over this project.
Sincerely,
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Gary GrolleDan Schoonover
Village PresidentTown Chairman
Village of BloomfieldTown of Bloomfield
VILLAGE OF BLOOMFIELD
TOWN OF BLOOMFIELD WALWORTH COUNTYSTATE OF WISCONSIN
In the matter of WisDOT Project ID 339-03-03,
US 12 Bridge Rehabilitation,
Bridge Maintenance,
Walworth County,WisconsinPETITION IN OPPOSITION OF “POTENTIAL PERMANENT CLOVER RD BRIDGE REMOVAL”
TO: Cindy Flower, P.E., Project Manager
WisDOT Southeast Region
P.O. Box 798
Waukesha, WI 53187-0798
The undersigned owner(s)or tenant(s) of land or real property located in the Town of Bloomfield or Village of Bloomfield, hereby petition the Wisconsin Department of Transportation (the “DOT”)in opposition of the “potential permanent Clover Rd bridge removal” as presented as a traffic impact by the DOT for US 12 Bridge Rehabilitation, Bridge Maintenance, Walworth County, Wisconsin Project ID 3839-03-03, is set out on the attached Exhibit “A” and incorporated herein by reference. In this regard, the owner(s) and tenant(s) make the following representations and requests that the DOT:
- Oppose the potential permanent Clover Road bridge removal as proposed by the DOT for Project ID 3839-03-3; and
- Support the permanent maintenance and improvements of the Clover Road bridge structure over US 12.
The undersigned, being first duly sworn upon their oath, depose and state that they have subscribed to the foregoing Petition in the matter of WisDOT Project ID 339-03-03, US 12 Bridge Rehabilitation, Bridge Maintenance, Walworth County, Wisconsin and have read the same before signing; that the statements made therein are true and correct.
VILLAGE OF BLOOMFIELD
TOWN OF BLOOMFIELD WALWORTH COUNTYSTATE OF WISCONSIN
In the matter of WisDOT Project ID 339-03-03,
US 12 Bridge Rehabilitation,
Bridge Maintenance,
Walworth County, WisconsinPETITION IN OPPOSITION OF “POTENTIAL PERMANENT CLOVER RD BRIDGE REMOVAL”
OWNER(S) or TENANT(S) SIGNATURESof Property Located in BLOOMFIELD, WALWORTH COUNTY, WISCONSIN:
SignatureName Physical Address Date Signed
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CERTIFICATION OF CIRCULATOR
I, ______certify: I reside at ______.
[Name of Circulator] [Circulator’s residential address]
I further certify that I personally circulated this petition and personally obtained each of the signatures on this paper. I know that the signers are owners or tenants of the jurisdiction of Bloomfield, Walworth County, Wisconsin. I know that each person signed the paper with full knowledge of its content on the date indicated opposite his or her name. I know their respective residences given. I intend to support this Petition.
Executed in Bloomfield, Walworth County, Wisconsin.
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[Date] [Signature of Circulator]