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2. 
4. Application for Driveway Permit

   Use this form to apply for a permit for driveway installations and curb cuts entering a street.

6. Applicant Contact Info:
8. Applicant Name*
9. Ownership Status*

   Owner, Lessee, Tennant, etc

11. Street #*
12. Street # Suffix
13. Street Name*
15. Phone #*
16. Email Address*
18. Request Information:
20. Location of Driveway

    Enter address, if different from above, and describe the location on the property the driveway is planned.

22. Width of Driveway*

    Enter in feet 

23. Proposed Date of Work*
    Proposed Date of Work
25. Contractor Information:

    Contractor who will perform the proposed work

27. Contractor Name*
28. Contractor Address*
30. Contractor Phone #*
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field