MEMORANDUM	Missouri Department of Transportation

Bridge Division

Central Office

TO:	Name - District No.de

FROM:	Name

Structural Project Manager

DATE:

SUBJECT:	Design Exception

Bridge No. over

Job No. , Route , County

Please find attached a Design Exception form for the above referenced structure. This form has already been approved and signed by the State Bridge Engineer. Please sign and date the form, then forward it to your District Engineer for further processing. Once approved, please ensure that a copy of the form signed by all parties is forwarded to the Bridge Division for our files.

If you have any questions or comments, please contact me at (573) .

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