Application
to Utilize the County Road Right of Way

Read our Right of Way Policy before completing this application.  After completing the application, click the submit button.  If you have questions that cannot be answered in the policy or on this form contact Peg Matheny, Administrator of Technical Services. At present, there is no charge for the permit.

Today's Date

Application by: (Property Owner, Utility Co. or Hauler)  
Your name if Applicant is Utility or Hauler
Mailing Address: Street/Box
                                    City   State   Zip  

Daytime Phone

Describe proposed work in County Road right of way:       

Any proposed driveway end treatment will be   Gravel    or   Asphalt        
Concrete driveway ends are not permitted within the right of way. 

Open cuts of County Road pavement are prohibited.

Work location address:

If work location address is not available, describe location as follows:
    

Work will commence on or about  and require  days to complete.

Select Work Type:  
                     
  Residential Drive Field Drive Service Station Subdivision Street Other Commercial Drive Ditch Enclosure Buried Cable-Telephone Buried Cable-Electric Pole Line-Telephone Pole Line-Electric Tree Trim Tree Removal Spraying Cut Down High Bank Field Drainage Overweight Crossing Oversize Movement Gas Line Crossing Gas Line Parallel Road-Push Bore Treated Sanitary Drainage Other  

You must select at least one item. Multiple selections are possible by holding down the "Ctrl" key.

Describe type if you selected:
Treated Sanitary Drainage
Other

Additional information required for the following types of installations:

• Underground Cable Requirements
  Electric      Telephone
  Proposed minimum:
  depth of  buried cable
  depth of buried loops
  distance from edge of pavement(cable not to be buried in bottom of side ditch)