Right-of-Way Permit Request

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Please correct the field(s) marked in red below:

1.  Location  (Must supply valid physical address to be processed)
 *
2.  Nature of Work
 *
**Any excavations in a street section should be listed as street surface excavation with a size.
**Excavations larger than 3’x 3’ should be listed separately.










**Required (attach detailed sketch of work being performed - user attached form or provide design plan)
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5 MB
.txt,.rtf,.doc,.docx,.xls,.xlsx,.ppt,.pptx,.pdf,.zip,.csv,.xml,.dwg,.eps,.jpg,.png,.svg,.ai
5 MB
.txt,.rtf,.doc,.docx,.xls,.xlsx,.ppt,.pptx,.pdf,.zip,.csv,.xml,.dwg,.eps,.jpg,.png,.svg,.ai
5 MB
.txt,.rtf,.doc,.docx,.xls,.xlsx,.ppt,.pptx,.pdf,.zip,.csv,.xml,.dwg,.eps,.jpg,.png,.svg,.ai
3. 
 *

4.  Will lane closure or traffic detouring be necessary?

**Notification must be given 3 days prior to closure to alert City Operations and Transportation and allow for location media release and public safety notification.  Upon approval closure may be implemented. 

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Contractor Performing Work
 *
Party/Organization Work Being Performed For
 *
Issue Permit To:
 *
Do you have a current bond with the City of Moorhead?
 *

Comments:
**Applicant shall contact the City of Moorhead for all required inspections and upon completion of work.
Inspections completed at 7:30am and or 1:30pm per city policy.
 *
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