Single Movement Of Oversized Or Overweight Application Form - Mchenry County Auditor
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1McHenry 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.
__________________________________
________________
Applicant
Date
__________________________________
________________
_____________
Authorized Signature
Date
Permit #
Remit application and applicable fees to:
McHenry County Auditor
407 Main St S Rm 201
Towner, ND 58788
Email: dcarpenter@nd.gov
Phone: 701.537.5724
Fax: 701.537.5969
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