OVERWEIGHT / OVERSIZE E IT APPLICATION

State ICC-MC DOT Towed Loaded Self-Propelled Various TrailersVehiclesEmpty of AxlesSizesLengthWidthHeightPower-UnitPow er UnitTrailerTrailerOther TrailerLoadOverhangOverall123456789 COMPLETE IF OVERWEIGHTS pacing Between AxlesTire WidthNumber of Tires on AxleAxle WeightAxle NumberEngineer's Office Comments:ROUTING INFORMATIONTo: (Intersection or Address)From: (Intersection or Address)VIA Highways / RoadsPlate No. and StateMakeApplicant Name - Owning Company or Contractor OVERWEIGHT / OVERSIZE VEHICLE PERMIT APPLICATION & PERMITLoad - Description (include make and model or serial number) APPLICATION DateAddressZipCityFax NumberContact PersonLoad WeightTotal Gross WeightSANDUSKY COUNTYENGINEER'S OFFICE2500 WEST STATE STREET, FREMONT, OHIO 43420 Phone: (419) 334-9731 FAX: (419) 334-9733 Type of Permit Requested: (Check All Applicable)Duration of Permit: Desired Effective Date: _____ 5 days90 Days365 daysOverwidth Overheight Overlength Trip & Return Other Fee (See Notes Below) Credit Card Other Office Use Only: OVERWEIGHT A copy of this permit shall be in the possession of the driver at all times and shall be shown on demand to any law enforcement officer.

Pursuant to Section 4513.34 of the Ohio Revised Code, the below-named permittee is hereby authorized to move the vehicles, objects or structures identified herein that are in excess of the weight and/or size maximums specified in sections 5577.01 to

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  Applications, Overweight, Oversize

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