Application for Right-of-Way Permit

Project Information

Owner/Contractor Information

Date of Application:*

Owner Name:*

Location of Proposed Project:*

Owner's Address:

Type of Work (i.e., Utility, Street, Sidewalk, Alley):

Owner's Phone Number:

Reason for Excavation:

Contractor's Name:

Estimated Project Length (ft):

Contractor's Address:

Estimated Value of Restoration:

Contractor's Phone Number:

Proposed Start Date:

Douglas Co. Contractors License (ft applicable):

Estimated Completion Date:

New Single Family Residence Exemption