Van Buren County, MI · Van Buren County

No notary required

Application Permit for Utility to Cross or Parallel a County Drain

Utility companies or their representatives use this application to request permission to cross or parallel a county drain in Van Buren County.

At a glance

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

What this form is

The application requests permission for utility work that crosses or parallels a county drain and includes the permit terms and conditions. Applicants provide the drain name, company and representative information, activity description, and location, and agree to follow the Drain Commissioner’s rules. Include a detailed plan or sketch; contractor liability insurance proof must be filed before the permit is issued.

Who needs it

A utility company or its representative planning work across or alongside a county drain in Van Buren County needs this application.

How to submit it

Submit the application and detailed plan or sketch to the Van Buren County Drain Commissioner’s Office, 219 E. Paw Paw Street, Suite 301, Paw Paw, Michigan 49079. The document lists (269) 657-8241; contractor liability insurance proof is required before permit issuance.

About notarization

This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download the Application

    Download the application and permit terms for utility work crossing or paralleling a county drain.

  2. 2

    Complete the Application

    Enter the drain name, applicant and representative details, activity description, location, and signature and date.

  3. 3

    Gather Required Materials

    Include a detailed plan or sketch. File proof of contractor liability insurance with the office before permit issuance.

  4. 4

    Submit to the County

    Submit the application and plan or sketch to the Van Buren County Drain Commissioner’s Office at the address shown on the form.

Frequently asked questions

Who uses the Utility County Drain Crossing Application?
A utility company or its representative uses the application to request permission to cross or parallel a county drain in Van Buren County.
What should I attach to the application?
The permit terms require a detailed plan or sketch outlining the proposed activity. Proof of contractor liability insurance must be filed with the Drain Commissioner’s Office before permit issuance.
How do I submit the Utility County Drain Crossing Application?
Send the application and detailed plan or sketch to the Van Buren County Drain Commissioner’s Office, 219 E. Paw Paw Street, Suite 301, Paw Paw, Michigan 49079. The listed phone number is (269) 657-8241.
Do I need a notary for the Utility County Drain Crossing Application?
No. This application is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.

Need something notarized?

This Application Permit for Utility to Cross or Parallel a County Drain doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.