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Public Road Cuts Application

Please fill out this entire form. Once you submit the form you will be brought to the payment page where you may pay the $50 application fee.

All soil erosion and any other permits are the sole responsibility of applicant.

* Indicates a field that is required and must be filled out.

Property Owner:

911 Address Where Work is to be Done:

Company or Individual Doing Work:


Phone Numbers of Individuals to be Contacted Regarding Work:
Cell: Office:


Date and Time Individual Can Meet at the Site Regarding This Application
Date: Time:

Specific Work Being Done:

Date Work Will Begin:

Date Work Will End:

By checking this box I am stating that I have read and understand the ordinance, sketches and checklist.