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Yes No

Single Parcel - Residential Single Parcel - Commercial Multiple Parcels - Residential Multiple Parcels - Commercial

Yes No N/A

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Yes No

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AS GU MP PR UM VI AA AP AE

Yes No

Yes No

First Name

Contractor same as Applicant? *

State

Address *

State *

Geographic Location

Contractor Information

PLEASE NOTE: You must begin the project within 2 weeks of the proposed start date once your application is approved.   If you fail to start within the two week period, you will have to re-apply for this permit.   Your application fee will not be returned.

Applicant Information

Proposed Start Date *

Phone # *

* If 'Yes', please click the edit button on the map and mark out the location of work.

Address 2

Representative Firm

Pictures/Documents

An applicant is defined as an owner of property adjacent to the right-of-way, the property owner's authorized representative, or an authorized representative of a private or public utility who applies for a permit to construct, operate, use, and/or maintain a facility within the right-of-way for the purpose outlined within the application.

Email

Phone #

City

Certification

Location

ZIP *

Please upload any site plans/drawings or the plan for pedestrian control pertaining to your permit application. If the file size is too large, please send via email to dpw@stevenspoint.com.

First Name *

Sidewalk Closure Required *

Address

Address 2

State

It is understood that work within City ROW may require temporary traffic control in conformance with the Manual of Uniform Traffic Control Devices.

It is understood that if there is damage done to facilities within the ROW I will be liable to repair damages as direcred by the City Engineer.

It is understood that, I (Applicant), shall follow all provisions of Chapter 11 of the City of Stevens Point Forestry Ordinance and all specifications set forth in the the City of Stevens Point Forestry Specifications for Construction on Public Lands. I shall provide at least 3 days notice to the City of Stevens Point Forestry Department (715-346-1531) for any and all work to be conducted within the Tree Protection Zone.

The applicant agrees to comply with all Municipal Ordinances and with the conditions of this permit, understands that issuance of the permit creates legal liability, express or implied, on the Department or Municipality, and certifies that all above information is accurate.

The applicant shall restore the right of way to the existing conditions as defined by the City Engineer and in accordance with industry standards. By signing, the applicant agrees to provide a guaranty period of one year to which any and all defects identified in the restoration of the site shall be repaired by the applicant, and indemnify and hold harmless the OWNER from all costs and damages incurred as a result of such repairs. Failure to do so may result in the assessment of damages by the OWNER in addition to any future permits being rejected.

Please allow up to 3 business days for Approval/Denial

Attachments

Address *

ZIP

Proposed Completion Date *

Application Type

Last Name

City *

Lane Closure Required *

Email *

Applicant Signature *

Address where project exist (or closest to it) *

Name of Company

ZIP

If work is being done on multiple parcels - are they within a 5-block radius?

License #

Last Name *

City

EDIT

• Select Job Type
• Install/Repair Utility
• Surface Alterations
• Temporary Use