Driveway Approach Permit Application

If applicant does not complete, sign and submit the form, the Traffic Engineering department will not have record of a submission.

Property owner

Name:

Address:

Phone number:

Name:

Address:

Phone number:

Address of driveway approach:

Land use to be served:

Construction Material

Asphalt

Concrete

Other

Other construction materials:

If parking lot, number of spaces:

Permit Number

_DGz

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text_sCj

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Document Signers