TOWN OF ALDEN

DRIVEWAY PERMIT APPLICATION

 

DRIVEWAY PERMIT FEES

1.  Field Driveway – $50.00

2.  Residential Driveway - $100.00                                                                                    Permit Number _____________

3.  Deposit for Driveway - $300.00 (see Driveway Supplement Ordinance for more details)

 

Name and Address of Applicant

Highway

County
Town - Village - City
Type of Driveway

 

 Number of Driveways

 

 Proposed Land Use

 

 Completion Date

 

Location of Proposed Driveway:

Subdivision Name (if applicable) ______________________________________ Lot Number _______________

Town Map Location ________1/4, ________1/4, of Section ________, Town ________N, Range ________W

__________________ Side of the highway _______ miles ________________ of _______________________

__________________________________________________________________________________________________

Description of Proposed Work (include special restrictions, intersection clearances, other details and reference to any sketches which may be attached.)

 

 

 

 

__________________________________________________________________________________________________

Any driveways shall be constructed in accordance with all requirements printed on the reverse side, and any special conditions stated herein. The maintenance of the driveways shall be the responsibility of the applicant.

Issuance of this permit shall not be construed as a waiver of the applicant's obligation to comply with any more restrictive requirements imposed by local ordinances.

 

____________________________________         _____________________
Signature of Applicant                                                                            Date

Approved by Town of Alden:

______________________________________________         _________________________
                                                                                                                        Date