Bergen, NY · Genesee County

No notary required

Driveway Permit Application

Town of Bergen property owners or applicants use this application to request access onto a town highway at a described location.

What this form is

This application requests permission to access a Town of Bergen highway and includes space to identify the highway and location. It asks the owner or applicant to accept the permit conditions and sign and date the request; a sketch or map is attached. The conditions address drainage structures, construction damage, and final acceptance by the Town.

Who needs it

An owner or applicant seeking access onto a Town of Bergen highway should complete this application and provide the location information and sketch or map.

How to submit it

Submit it to the Town of Bergen Highway Department at Gates Street, PO Box 591, Bergen, New York 14416; the form also lists 585-494-1362.

About notarization

This application is signed and dated without a notary; it calls for a sketch or map attachment, and the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Bergen Driveway Permit Application PDF.

  2. 2

    Complete The Request

    Identify the town highway and the location where access is requested.

  3. 3

    Attach A Sketch Or Map

    Attach the sketch or map indicated on the application.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the Town of Bergen Highway Department.

Frequently asked questions

Do I need a notary for the Driveway Permit Application?
No. The application has signature and date lines but no notary block. It calls for a sketch or map attachment; the signer just signs and dates the application.
How do I submit the Driveway Permit Application?
The form identifies the Town of Bergen Highway Department at Gates Street, PO Box 591, Bergen, New York 14416. It also lists the department phone number, 585-494-1362.
What information and attachments does the application request?
It requests access onto a town highway and the location described in the application. A sketch or map is attached, and the owner or applicant signs and dates the request.

Need something notarized?

This Driveway Permit Application doesn’t need a notary — but if you have another Bergen form that does, a commissioned online notary can help.