ROAD OPENING PERMIT bAPPLICATIONb - Village of East Hills: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Applicant’s Name and Phone number. This should be the owner or agent of the company applying for the permit.
Fill in your Address and the Resident’s Name for whom the work is being done, along with their Property Address.
Indicate the Reason for Road Opening by checking all applicable boxes such as Repair, Utility Connection, etc.
Specify whether you request permission to open or reconstruct a section of the road by checking one option and circling the appropriate direction (N/S/E/W).
Provide a distance from the nearest intersection and include a location diagram as required.
Complete contractor details for both Road/R.O.W. Opening and Road Pavement Restoration sections, including names, addresses, phone numbers, and license information.
Sign and date the application to confirm your agreement to abide by local ordinances.

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