How do I submit the Road Work Permit Application?

Submit it to the Wyoming County Highway Department at 4328 State Route 19, Silver Springs, NY 14550. The form lists a non-refundable $25.00 permit fee.

What information does the application ask for?

It asks for the applicant’s name and address, the proposed work’s scope and location, and a sketch of the work. It also has spaces for signatures and dates.

Who should use this road work permit application?

A person or business proposing work on or across a County Highway in Wyoming County can use this application to request a permit.

Gainesville, NY · Wyoming County

No notary required

Application for Road Work Permit

This application is for a person or business requesting permission to perform work on or across a County Highway in Wyoming County.

What this form is

Use this application to request a road work permit for work on or across a County Highway in Wyoming County. It asks for the applicant’s name and address, the scope and location of the proposed work, and a sketch of the work; the form also includes permit conditions and spaces for signatures and dates. The listed non-refundable permit fee is $25.00.

Who needs it

A person, business, or utility company proposing work on or across a County Highway in Wyoming County should complete this application.

How to submit it

Submit it to the Wyoming County Highway Department, 4328 State Route 19, Silver Springs, NY 14550. The form lists a non-refundable $25.00 permit fee.

About notarization

This document is signed and dated without a notary; attach a sketch of the proposed work, and the signer just signs and dates the application.

How to submit this form

1
Download The Application
Download the Road Work Permit Application PDF.
2
Complete The Application
Provide the applicant’s name and address, explain the proposed work, and identify its location.
3
Attach A Work Sketch
Attach a sketch of the proposed work to the application.
4
Submit To The Highway Department
Submit the application to the Wyoming County Highway Department at the address shown on the form; the listed permit fee is $25.00.

Frequently asked questions

Do I need a notary for the Road Work Permit Application?: No. This application is signed and dated without a notary. Attach a sketch of the proposed work.
How do I submit the Road Work Permit Application?: Submit it to the Wyoming County Highway Department at 4328 State Route 19, Silver Springs, NY 14550. The form lists a non-refundable $25.00 permit fee.
What information does the application ask for?: It asks for the applicant’s name and address, the proposed work’s scope and location, and a sketch of the work. It also has spaces for signatures and dates.
Who should use this road work permit application?: A person or business proposing work on or across a County Highway in Wyoming County can use this application to request a permit.

Need something notarized?

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