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City Right-of-Way Obstruction Permit Request

  1. Terms & Conditions*

    I, as the applicant, understand that before completing this obstruction permit request form that this form is a request only and does not authorize me to begin obstructing until I receive an email with a link to download my permit documents if they are approved.

  2. What are the nearest cross-street boundaries of your obstruction?

  3. For partial street closure, which side of the street will be obstructed?*

    Mark all that apply.

  4. Portion of the Right-of-Way to Be Obstructed*

    Mark all that apply.

  5. Purpose of Obstruction*

    Mark all that apply.

  6. If you have a PDF of a traffic control plan, site plan documents, etc., you may upload them here.

  7. The applicant herein shall comply with Section 9.27 of the City of Green Bay Municipal Code of Ordinances and also assumes all responsibility for any claim of damage against the City caused by such obstruction. The applicant hereby agrees to provide traffic control devices according to the latest Manual on Uniform Traffic Control Devices and its State of Wisconsin Supplement and is liable for all damages for failure to install and maintain suitable and correct traffic control devices. IF APPROVED, THIS PERMIT IS SUBJECT TO REVOCATION IF UNFAVORABLE TRAFFIC CONDITIONS DEVELOP DURING THE PERIOD THAT OBSTRUCTION IS PERMITTED OR IF INCORRECT/IMPROPER TRAFFIC CONTROL DEVICES ARE USED.

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. END OF APPLICATION. Click "Submit" so that the Department of Public Works can review your permit request. If your permits are approved, you will receive an email notification within 3 business days with a link to download your approved permit documents.

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