Road Opening Permit Form

Road Opening Permit - 2023

Date

Contact Information

First Name

Last Name

Address

City

State/Province

Zip/Postal

Phone

Permit Information

Who is Completing the Permit Application?

Builder / Contractor

Homeowner / Resident

Type of Excavation Work

Is the Location of the Work to be Completed the same as above?

Yes

Location of Work to be Completed

City

State/Province

Zip/Postal

Estimated Work Start Date

Estimated Work Completion Date

Please upload any plans or supplemental information here.

Maximum upload size: 67.11MB

Builder / Contractor Signature - Type your full name for acceptance.

If this application is approved and a permit issued, the applicant agrees to comply with all the terms, conditions, and restrictions printed or written on the back of this sheet and attached hereto as "addendum", mended or supplemented above in accordance with the detailed plans submitted and attached to this application. Please

Homeowner / Resident Signature - Type your full name for acceptance.

Total Amount

The total for your permit is list below. You can pay by cash or check at the Plain Township Road Department at 6300 Heminger Ct NE, Canton, OH 44721. You can also pay by credit card over the phone by calling the Plain Township Road Department. Please note that a 3% credit card fee will be applied.

Total

Terms Agreement

If this application is approved and permit issued, the applicant agrees to comply with all the terms, conditions, and restrictions associated with this permit application and attached hereto as "addendum", mended or supplemented above in accordance with the detailed plans submitted and attached to this application. Click Here to View Terms