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STATE OF INDIANA INDIANA DEPARTMENT OF TRANSPORTATION RIGHT OF WAY PERMIT State Form 41769 R5 / 3-00 Approve by State Board of Accounts 2000 Approved by Auditor of State 2000 Excavation Pole Line District Bridge Attachment Subdistrict Miscellaneous Telephone number Project locations Application number Type of Permit Reference pt.
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state form 41769
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