Single Movement Of Oversized Or Overweight Application Form - Mchenry County Auditor

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McHenry County Application for 
Single Movement of Oversized or Overweight 
Oversized ‐ $20 
Overweight ‐ $
Oversized & overlength 
Owner of Moving Equipment: _______________________________________________________ 
Address/Billing: __________________________________________________________________ 
Contact: _______________________________   
Phone: ___________________________ 
Fax: ___________________________________   
Email: ____________________________ 
Description of Load: _______________________________________________________________ 
Description of Moving Equipment: ___________________________________________________ 
Make & Model: _______________________ 
Year: __________ 
Unit #: ______________ 
License #: ____________________________ 
Serial #: _________________________________ 
GVW: _______________________________ 
Length: ______    Width: ______    Height: _____    
State Permit #:________________________ 
Trip Date: _______________________________ 
Route: _________________________________________________________________________ 
Applicants must submit a copy of their proposed axle configuration, along with a copy of their ND 
Single Trip Permit (if applicable) and a copy of insurance coverage.  If the state permit contains 
the axle configurations information, that will be sufficient.  Any damage due to negligence on the 
part of the owner or operator will be the responsibility of the applicants to repair.  The applicant 
also  agrees  to  hold  harmless  McHenry  County  and  its  employees  from  any  and  all  personal  or 
property damages or liability in conjunction with the movement of this load.  Applicant shall be 
billed and agree to pay the invoice within 30 days of its receipt.   
Authorized Signature 
Permit # 
Remit application and applicable fees to: 
McHenry County Auditor 
407 Main St S  Rm 201 
Towner, ND 58788 
Phone: 701.537.5724 
Fax: 701.537.5969 


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