Road Encroachment Permit Application Form
Apply for permission to encroach on public or right-of-way road space. Please complete all fields accurately to ensure timely processing.
Applicant Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project Title or Reference
*
Location of Encroachment (Street address or road description)
*
Proposed Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Proposed End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Encroachment
*
Temporary Structure (e.g., scaffolding, fencing)
Permanent Structure (e.g., signage, landscaping)
Utility Work (e.g., excavation, cable laying)
Event or Temporary Closure
Other
Dimensions or Area of Encroachment (meters or square meters)
*
Describe anticipated traffic or pedestrian impact and proposed mitigation measures
*
Upload site plans, sketches, or supporting documents
Upload a File
Drag and drop files here
Choose a file
Cancel
of
I confirm that all information provided is accurate and understand that approval is subject to local regulations.
*
I acknowledge and agree
Submit Application
Should be Empty: