Highway Access Permit (ROW Work) 19 VSA 1111

Right-of-Way Work Permit (19 VSA 1111)

Please fill the form below to apply for review of your project.
Your Name:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Include description of work to be completed:
YesNo
When are you planing on work starting (estimated or use "ASAP")?

MonthDayYear
Single-family or Two-family home drivewayCommercial, 3-family or more dwelling, or mixed usesAgricultural uses only / field accessUtility workOther
Questions/Comments:
Upload sketch of project area with accurate measurements to physical locations in the field - such as the closest telephone pole, culvert or a side road or driveway.

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Right-of-Way Work Permit (19 VSA 1111)