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Culvert Permit

  1. Village Letter Head Online Forms

  2. Culvert Permit

  3. Permit fee: $5.00

  4. Applicant information:

  5. Culvert Image

  6. Specifications:

  7. I hereby agree to install this culvert in such a manner that it will not inhibit the free flow of water or violate the Soil Erosion Regulations (chapter 157). Should installation of this culvert inhibit the free flow of water or violate the Soil Erosion Regulations, I will be fully responsible for correcting any deficiencies or violations.

  8. ______________________________________

    Applicant's Signature

  9. _____________________________________

    Approved by: Edward S. Dolezal P.E. Director of Public Works

  10. This form must be printed, signed and turned into the Village Hall

  11. Leave This Blank:

  12. This field is not part of the form submission.