APPLICATION FOR CULVERT/DRIVEWAY PERMIT I, , do hereby request permission and authority to construct a culvert/driveway on the right-of-away of the village in accordance with the information provided on this application and the accompanying sketch. (Applicant must prepare a sketch showing location, length and pertinent details.) ADDRESS: Pipe material will be: Wall thickness or gauge will be: Type of joint will be: DATED: , 20 SIGNED: (Applicant) _________________________________________________________________________ CULVERT/DRIVEWAY PERMIT APPLICATION Approved ( ) Disapproved ( ) If disapproved, state reasons: DATED: , 20 SIGNED: (Applicant) CERTIFICATION The undersigned has inspected the construction and installation set forth above and finds that the same (is) (is not) in accordance with the permit. DATED: , 20 SIGNED: (Applicant) |
(Prior Code, Ch. 33, App. B)