Wellston, OH · Jackson County
Right-Of-Way Occupancy Application
Utility and other providers use this application to request a Certificate of Registration for activities in Wellston rights-of-way.
What this form is
Providers use this application to seek a Certificate of Registration for activities in Wellston rights-of-way. It requests provider and contact information, emergency contact details, and a description of proposed activities. Applicants must attach insurance and workers’ compensation documentation, applicable company and regulatory documents, and facility location information; the form also lists registration and maintenance fees.
Who needs it
Providers seeking to occupy or use Wellston rights-of-way for their activities should complete this application and provide the listed supporting documents.
How to submit it
Submit the application and attachments to the Department of Zoning, Wellston Municipal Building, 203 East Broadway Street, Wellston, Ohio 45692. The form lists [email protected] and a $100 application fee plus a $50 first-year maintenance fee.
About notarization
This document has no notary block; the applicant swears the information is true and signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Right-Of-Way Occupancy Application.
- 2
Complete The Application
Provide provider, contact, emergency contact, proposed activity, and facility location information.
- 3
Gather Required Attachments
Attach the insurance, workers’ compensation, company, regulatory, and facility information listed on the form.
- 4
Submit To The Department Of Zoning
Submit the application and attachments to the Department of Zoning at the Wellston Municipal Building.
Frequently asked questions
- Who uses the Right-Of-Way Occupancy Application?
- Providers seeking a Certificate of Registration for activities in Wellston rights-of-way use this application. It requests provider details, proposed activities, facility locations, and supporting documents.
- Do I need a notary for the Right-Of-Way Occupancy Application?
- No. The application has no notary block. The applicant swears the information is true and signs and dates the form.
- How do I submit the Right-Of-Way Occupancy Application?
- Submit it with the required attachments to the Department of Zoning at the Wellston Municipal Building, 203 East Broadway Street, Wellston, Ohio 45692. The form also lists [email protected].
Need something notarized?
This Right-Of-Way Occupancy Application doesn’t need a notary — but if you have another Wellston form that does, a commissioned online notary can help.