Driveway Permit Application

Zoning Administrator - Jacob VanBoxel

A current certificate of insurance by the contractor is required for a permit to be issued. An Insurance Certificate is required to work in the Village right-of-way.

It is the responsibility of the applicant to flag the proposed driveway location by no later than one (1) week from the date of application and contact the inspector so he will be able to determine the exact location. Any construction performed before the receipt of the original permit may not meet Village of Kingsley's standards and is subject to revision or removal and could result in a fee being assessed. See attached right of way standards.

Village of Kingsley is an Equal Opportunity Provider.

* required

E-Mail Address *

Name

Address

City, State & Zip

Complete all that apply below:

Distance from crossroad

Distance from side road

Distance from lot line

Existing driveway

New driveway width

Number of drives

Surface type

Culvert size

Culvert length

Culvert end plans

Pave shoulder to adjacent drive (if less than 40 feet)

Applicant or Authorized Agent

Remarks

Signature

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Hours:

Monday thru Friday
8:00 a.m. to 4:30 p.m.

Closed Noon to 1:00 p.m.

Office:

207 S. Brownson Ave.
P.O. Box 208
Kingsley, MI 49649

(231)263-7778 office
(231)263-2278 fax