Date of Report:	Choose date
Submitted by:	enter text

Project No.:	enter text
Designation:	enter text
Project ID:	enter text

The following plan is submitted for your review and approval in accordance with Chapter 5 of the Montana Department of Transportation Right-of-Way Manual.

1.	Introduction
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2.	Project Location
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3.	Purpose
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4.	Guiding Documents & Regulations
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5.	Map-21
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6.	Assurances
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7.	Relocation Plan Overview
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8.	Exceptions
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9.	Definitions
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10.	Summary of Displacees
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11.	Analysis of Replacement Real Estate Inventory
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12.	Replacement Properties
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13.	Project Funding Estimate
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14.	Project Cost Factors and Assumptions
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Appendixes

Yes	No
☐	☐	Figure 1: Project Location Map
☐	☐	Table 1: Impacted Properties
☐	☐	Table 2: Residential & Business Relocation Requirements by Displacement Dwelling Type & Size
☐	☐	Table 3: Summary of Residential Owners and Tenants Impacted by the Project
☐	☐	Table 4: Replacement Properties
☐	☐	Table 5: Residential Tenant Replacement Site Inventory
☐	☐	Table 6: Commercial Replacement Site Inventory