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This form is not for special event closures. For special event closures please contact the Clerk's Office at (765) 807-1021.
Please fill out the form completely. Incomplete forms and/or incomplete information will cause a delay in the processing of your request.
Please give a detailed description of the area(s) to be closed. Please be specific.
PLEASE NOTE: If you need to cancel this request or change the dates you must contact our office at (765) 807-1055. Failure to do so could result in fines.
This will be used to send a media notice to the public and emergency responders. Please provide us with a detailed description of: (1) how much of the affected area is going to be in/under construction or closed; and, (2) what equipment, signage, and flagmen, (if any) will be used in the right of way.
Please attach a map showing the area(s) to be closed.
This field is not part of the form submission.
* indicates a required field