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Right of Way Permit
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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
* indicates required fields.
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