Transcription of Application for Encroachment Permit 10-02-08 - …
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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.)
3. The undersigned applicant hereby requests the SCDOT to permit encroachment on the SCDOT right of way as described herein. It is expressly understood that the encroachment, if and when constructed, shall be installed in accordance with the sketch attached hereto and made a part hereof.
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