| Right of Way Form |
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Dakota Dunes Community Improvement District
Right-of-Way Permit Application
Applicant:____________________________________________
(Registrant)
Address:_____________________________________________
_____________________________________________
Phone: _____________________________________________
Contact:______________________________________________
Owner of Improvements:_____________________________________
(Must be Registered)
Contact:______________________________________
Location of work:__________________________________________
Type of Work:_____________________________________________
Duration of Work (Working Days):____________________________
Tentative Start Date:_____________
Tentative End Date:_______________
Note: Duration of Work is Equipment on Site to Restoration of ROW.
CID USE ONLY:
Fee (Based on Duration of Work: ____________________
Fee After Permit Time: _____________________________
_____ROW Registration
_____Plans on File
_____Insurance
_____Bond
__________Permit Approval Permit Number:__________
________________________
Signature
________________________
Date
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