Wyoming County, NY · Wyoming County
County Road Work Permit Application
This application requests permission to perform work on a Wyoming County road and is completed by the person or organization proposing the work.
At a glance
- Issued by
- City of Wyoming County · Wyoming County, Wyoming County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- wyomingcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a permit for proposed work on or across a Wyoming County highway. It asks for the applicant’s name and address, the work scope, the town and road location, and a sketch of the proposed work. The form lists a non-refundable $25 permit fee and includes conditions covering work, traffic, notice, and responsibility for damage.
Who needs it
A person or organization proposing work on or across a Wyoming County highway should complete this application and attach a sketch of the proposed work.
How to submit it
Send the application and proposed-work sketch to the Wyoming County Highway Department, 4328 State Route 19, Silver Springs, NY 14550. The form lists a non-refundable $25 permit fee.
About notarization
This application is signed and dated without a notary; it requires an attached sketch of proposed work, but does not identify any notarized attachment.
How to submit this form
- 1
Download the Application
Download the County Road Work Permit Application PDF.
- 2
Complete the Application
Enter applicant details, explain the work, identify the highway location, and sign and date the application.
- 3
Attach a Work Sketch
Attach a sketch of the proposed work as directed on the form.
- 4
Submit to the County
Send the application and sketch to the Wyoming County Highway Department at the address listed on the form.
Frequently asked questions
- Do I need a notary for the County Road Work Permit Application?
- No. The application is signed and dated without a notary. Attach a sketch of the proposed work; the form does not identify a notarized attachment.
- How do I submit the County Road Work Permit Application?
- Send the completed application and proposed-work sketch to the Wyoming County Highway Department, 4328 State Route 19, Silver Springs, NY 14550.
- What should I include with the application?
- Explain the scope of work and include a sketch of the proposed work. The application also asks for the location, including the town and county road number.
- Is there a permit fee?
- The application lists a non-refundable permit fee of $25.00.