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Driveway Permit Application

Village of Kingsley
207 S. Brownson
Kingsley, Michigan 49649
Phone: (231) 263-7575


Zoning Administrator - Russ Casselman

Name:


Address:


City, State & Zip:


Email (Required):


Distance from:
Crossroad
Side road
Lot line  

A. Pave existing drive; no other information needed

B. Repair/extend existing drive; no other information needed

C. New Drive Width: Number of drives:

D. Surface type: Gravel Asphalt Concrete

E. Culvert Required: Size Length End Plans

F. Pave shoulder to adjacent drive if less than 40 feet

Remarks:


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.

Signature of applicant or authorized agent:


Village of Kingsley is an Equal Opportunity Provider




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