Highway Division Application Permit for Access

Olmsted County Public Works Application Permit for Access

Applicant contact information

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Property owner contact information

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Parcel size in acres

Property ID numbers

Legal description of parcel

Present number of existing accesses

Locations of existing access

County Road Access is proposed on

Proposed access type

Date access is needed

Is a building to be constructed? if yes, what type?

Exact Proposed Location of Access

Is the access shared?

Any additional comments regarding this access application

Signature of applicant

I, We, the undersigned, herewith make application for permission to construct the access driveway at the above location, said driveway to be constructed to conform with the regulations of the Public Works Department and to any conditions included in the permit. With this signature, the undersigned acknowledges that all of the information in the application is true and correct and that it may be denied if it is not and you have read and understand the applicable requirements under the adopted Access Management Ordinance and you agree to be bound by those requirements.

Date of submission

Please submit a drawing that shows the property lines, county roads, buildings, and any existing driveway access.

For commercial and public/private streets, attached grading plan and traffic study if required.
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