VILLAGE OF ROCHESTER
APPLICATION FOR CULVERT/DRIVEWAY PERMIT
I, __________________________, do hereby request permission and authority to construct a culvert/driveway on the right-of-way 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)
(2009 Code, Ch. 34)