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RIGHT OF WAY PERMIT
Property Owner
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No
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e-mail address:
Contractor
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Work Description
Location:
Nature of work:
Start Date(mm/dd/yy):
Duration:
Completion Date (mm/dd/yy):
Check all that apply:
Road or Alley Closure
Sidewalk Closure
Parking Space Closure
Residential Driveway
Width:
ft. Length:
ft.
Commercial Driveway
Width:
ft. Length:
ft.
Sidewalk (4" Concrete)
Width:
ft. Length:
ft.
Pavement Disturbance
Utility Installation
Fence, Wall, Building, etc.
Materials Storage
Awning/Canopy
Trash Dumpster
CY
Other
Explain:
Fee
General Permit / $10.00 per item selected above -
due at time permit is issued
Pavement Disturbance / Varies
Send by fax to 910-341-5881
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Post Office Box 1810 Wilmington, NC 28402-1810
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