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Application for Encroachment Permit 10-02-08 - …

Department of Transportation Form 637 (Rev 4/2008) Application for Encroachment Permit Permit Number: _____ Applicant: County: Street: 1. Road / Route Road Name 2. City: 3. State & Zip: 4. Phone: Fax: 5. Contact : 1. Type of Encroachment : 2. Description of Location: (Attach sketch indicating roadway features such as: pavement width, shoulder width, sidewalk and curb and gutter location, significant drainage structure, north arrow, right of way width, and location of the proposed Encroachment with respect to the roadway centerline and the nearest intersecting road on the State system.)

(Attach sketch indicating roadway features such as: pavement width, shoulder width, sidewalk and curb and gutter location, significant drainage structure, north arrow, right of

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