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Permit to Construct Driveway and/or Alter Existing Curb or Sidewalk

2. Permit to Construct Driveway and/or alter existing curb or sidewalk

4. Owner Name*

5. Email Address*

7. Phone Number

9. Property Address*

11. Location of Driveway*

13. Applicant/Contractor:*

14. Phone Number

16. Plan of Proposed Work Within the Public Way*

    Please indicate below any alteration plans you or your contractor may have in regard to the sidewalk, berm, or street at the location of your driveway. Please describe the distances from the street, road, or berm where your driveway will be located. Also, include all information on approximate width, length, and locations of driveway from property lines. Also indicate North and scale used on plan.

20. Conditions

    set forth by City Engineer

22. Date:
    Date:

23. Decision

    1. Approved
    2. Denied

25. Electronic Signature of City Engineer:

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field