Form Mr 505 - Permits Page 2
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4Additional Requirements
1. All requests for vehicular access connections (commercial and residential driveways and field drives) are subject to the
requirements and provisions of the State Highway Access Management Manual. You will find this form at
on the web.
2. Check with the issuing authority to determine which of the following documents and information are required and the
number of copies needed to complete the review of your application. Plans should usually not be larger than 24"x 36."
(A) Map or plat showing property location, property lines,
(E) Design and type of construction of the proposed access;
amount of frontage on state highway and on other abutting
(F) Drainage plans showing drive culvert/pipe and impacts
public roads, if any;
to the highway right of way;
(B) Any existing access or easements of access on the
(G) Subdivision, zoning, or development plan, if applicable;
property;
(H) Maps and letters detailing utility locations before and
(C) Highway and driveway plan profile;
after development in and along the right of way;
(D) Location of proposed access with respect to property
(I) Signing and striping plans;
lines and to the highway; NOTE: The proposed access
(J) Traffic data and traffic control plan;
location should also be physically marked on the property
(K) Proof of liability insurance;
by a stake or other clearly visible means.
(L) Performance Bond, if required
Commercial Development
3. If you are requesting a permit for Commercial Development, complete the following. Applicants seeking permits for
development generating high traffic volumes (over 100 trip ends in the peak hour) are advised to request a preliminary
meeting with appropriate ODOT and/or local officials prior to submitting a formal application for access.
(3a) If the proposed access will serve residential development, what type (single family, apartment, townhouse) and number of
units are in the proposed development?
Type of Units
Number of Units
Type of Units
Number of Units
(3b) If the proposed access will serve business commercial or industrial development, what types and number of businesses are
in the proposed development and what is floor area square footage of each?
Type of Business
Square Footage
Type of Business
Square Footage
(3c ) Number of vehicles using the access. Indicate if estimates are ___Peak hour =____ or ___ Average daily volumes = ____.
Number of Passenger Cars:
Number of Multi Units:
Total All Vehicles:
(3d) Consulting Firm:
Name of Contractor:
Contact Name:_______________________________
Contact Name:
Phone Number:
Phone Number:
Beautification Permit
4. If you are applying for Beautification Permit, complete the following. Please submit proof of insurance.
Insurer’s Name________________________ Address_____________________________ Phone (
)____________
Number of adults (over 18) ______ under 18 ______ Total people ______
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