Dearborn Heights, MI · Wayne County

No notary required

Application for Use and Distribution of City Right-of-Way

This application is for applicants seeking to use or disrupt city right-of-way for proposed work in Dearborn Heights.

What this form is

Use this application to request use or disruption of Dearborn Heights city right-of-way for proposed work. It asks for applicant and contractor details, a work description, right-of-way measurements, proposed work dates, restoration methods, and permit information. The form also lists fees and schedules, requests an insurance certificate, and includes city review and approval sections.

Who needs it

Applicants proposing work that uses or disrupts Dearborn Heights city right-of-way should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists the Department of Building & Engineering.

About notarization

This application is signed without a notary; attach an insurance certificate as required, and the signer signs and dates the form.

How to submit this form

  1. 1

    Download The Application

    Download the right-of-way use and disruption application PDF.

  2. 2

    Complete The Application

    Provide applicant and contractor information, describe the proposed work, and fill in the requested measurements and schedule.

  3. 3

    Gather The Insurance Certificate

    Attach an insurance certificate as directed by the form.

  4. 4

    Submit To The City

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Dearborn Heights right-of-way application for?
It requests permission to use or disrupt city right-of-way for proposed work and collects applicant, contractor, work, measurement, schedule, and restoration details.
Do I need a notary for the right-of-way application?
No. This application is signed without a notary. The form requests an insurance certificate attachment; the signer signs and dates the form.
How do I submit the right-of-way application?
Submit it to the city department named on the form and check the city website for current contact details. The form lists the Department of Building & Engineering.
What should I attach to the application?
The form says to attach an insurance certificate to the application and lists general liability, auto, and contractor's protective insurance requirements.

Need something notarized?

This Application for Use and Distribution of City Right-of-Way doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.