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					   Version 3                                                           RSHQ Ref:




                           APPLICATION FOR RELAXATION OF STANDARD




   Design Organisation;

   Contact Name:                                                         Contact Tel No:



   Scheme Title                                                      Designer Ref:




                                  Tick as appropriate         Tick as appropriate 


   Roads Service promoted Scheme                          Minor Works              Major Works

   Developer led Scheme
   (Project Designer to assign)                              (Division Project Management to assign)




Relevant Standards (reference must be made to specific relevant paragraphs)
  Version 3                                               RSHQ Ref:




Proposed Relaxation(s) of Standard including justification




Completed signed original applications and supporting drawings to be forwarded to the

Roads Service Network Services Divisional Roads Manager


 Signed:                            RS/Company - Grade/Position

 PRINT NAME                                                     Date:




 Approved:                             Divisional Roads Manager



 Date:                              Divisional Ref:

				
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