Effingham County, IL · Effingham County

No notary required

Highway/Utility Permit

Effingham County applicants use this permit application to request authorization for work in a county highway right-of-way.

At a glance

Issued by
City of Effingham County · Effingham County, Effingham County, Illinois
Notarization
Not required: file this form without a notary.
Official source
effinghamcountyil.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application requests permission to perform described work on an Effingham County highway right-of-way. Applicants provide their name and contact details, highway route and section, township, work description, requested completion period, and emergency contact information. The form sets out construction and restoration conditions, and requires applicants to notify the Highway Department before construction and when work is complete.

Who needs it

Applicants planning work on an Effingham County highway right-of-way should complete this permit application and agree to its listed conditions.

How to submit it

Sign and return two original copies to the Effingham County Highway Department, 101 N Fourth St., Suite 304, Effingham, IL 62401.

About notarization

This permit is signed and dated without a notary; it calls for applicant and witness signatures, with no sworn attachment.

How to submit this form

  1. 1

    Download the Permit

    Download the Effingham County Highway/Utility Permit.

  2. 2

    Complete the Application

    Enter applicant and project details, describe the work, provide emergency contact information, and sign the permit.

  3. 3

    Attach the Work Description

    Include the attached detailed description of the proposed work referenced on the permit.

  4. 4

    Return Two Originals

    Sign and return two original copies to the Effingham County Highway Department at the address on the form.

Frequently asked questions

What is the Effingham County Highway/Utility Permit for?
It requests permission to do described work on the right-of-way of an Effingham County highway and lists conditions for carrying out that work.
Who should complete this permit?
The applicant requesting authority to perform work on a county highway right-of-way completes the form and provides project and emergency contact details.
Do I need a notary for the Highway/Utility Permit?
No. The permit has applicant and witness signature lines but no notary block; the signer signs and dates it without a notary.
How do I submit the Highway/Utility Permit?
Sign and return two original copies to the Effingham County Highway Department at 101 N Fourth St., Suite 304, Effingham, IL 62401.

Need something notarized?

This Highway/Utility Permit doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.