Benton Harbor, MI · Berrien County
Right-of-Way Use Application and Permit Form
This application and permit form is for property owners, applicants, or contractors requesting to construct, operate, use, or perform maintenance in Benton Harbor’s right-of-way.
What this form is
The form applies to work or activities in the city right-of-way and must be completely filled out before review. If approved, it becomes the permit for the described work. Applicants provide the work location, owner and applicant or contractor details, proposed dates, and work description, and submit a sketch plan, liability insurance certificate, and bond or cash alternative.
Who needs it
Property owners, applicants, and contractors planning construction, use, operation, or maintenance within Benton Harbor’s right-of-way need this form.
How to submit it
The form names the City of Benton Harbor Engineering Department at 200 E. Wall Street, Benton Harbor, MI 49022. For right-of-way issues, it lists (269) 927-8400.
About notarization
This form is signed and dated without a notary; the applicant affirms the information is true, but no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download The Form
Download the Right-of-Way Use Application and Permit Form PDF.
- 2
Complete The Application
Provide the proposed work address, owner and applicant or contractor details, proposed dates, and work description.
- 3
Gather The Required Items
Prepare a sketch plan, liability insurance certificate naming the city as certificate holder, and the listed bond or cash alternative.
- 4
Submit To The City
The form names the City of Benton Harbor Engineering Department at 200 E. Wall Street, Benton Harbor, MI 49022.
Frequently asked questions
- What is the Right-of-Way Use Application and Permit Form?
- It is an application for work or activities within Benton Harbor’s right-of-way. If approved, the application becomes the permit for the work described.
- What must I include with the application?
- The form lists a sketch plan, a certificate of liability insurance naming the city as certificate holder, and a $5,000 license and permit bond or $5,000 cash or cashier’s check in lieu of the bond.
- Do I need a notary for the Right-of-Way Use Application and Permit Form?
- No. The applicant signs and dates the form and affirms the information is true; it does not list a notarized attachment or sworn step.
- How do I submit the Right-of-Way Use Application and Permit Form?
- The form names the City of Benton Harbor Engineering Department at 200 E. Wall Street, Benton Harbor, MI 49022. It lists (269) 927-8400 for right-of-way issues.