What attachments does the application require?

The form lists insurance certificates, workers’ compensation documentation, and additional documents depending on the applicant, including corporate and authority records, an activity narrative, and facility location information.

What fees are listed on the application?

The form lists a $100 application fee and a $50 first-year registration maintenance fee. It also describes annual maintenance payments and a monthly late charge for unpaid balances.

Mentor, OH · Lake County

No notary required

Right of Way Occupancy Application for Certificate of Registration

Providers seeking a City of Mentor certificate of registration for right-of-way occupancy use this application to provide business, contact, and activity details.

What this form is

This application is for providers seeking a City of Mentor Certificate of Registration to use or occupy rights-of-way. It asks for provider and contact information, emergency contact details, and a description and location information for proposed activities and facilities. Applicants must attach insurance and other listed documents, pay the application and first-year maintenance fees, and sign the form’s statements and indemnification terms.

Who needs it

Providers seeking a City of Mentor Certificate of Registration for activities or facilities in the city's rights-of-way need this application.

How to submit it

Submit the application to the Engineering and Building Department at Mentor Municipal Center, 8500 Civic Center Boulevard, Mentor, Ohio 44060-2499. The form lists a $100 application fee and a $50 first-year maintenance fee, and provides [email protected].

About notarization

This document is signed without a notary; the applicant swears the information is true and signs and dates the form, but no notarized attachment or step is listed.

How to submit this form

1
Download The Application
Download the Right of Way Occupancy Application for Certificate of Registration.
2
Complete The Application
Enter provider, legal status, address, contact, emergency contact, and proposed activity information.
3
Gather Required Attachments
Attach the insurance, workers’ compensation, and other documents listed on the application.
4
Submit To The City
Submit the signed and dated application and listed fee to the Engineering and Building Department at the address on the form.

Frequently asked questions

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; no notarized attachment or step is listed.
How do I submit the Right of Way Occupancy Application?: Submit it to the Engineering and Building Department at Mentor Municipal Center, 8500 Civic Center Boulevard, Mentor, Ohio 44060-2499. The form also lists [email protected].
What attachments does the application require?: The form lists insurance certificates, workers’ compensation documentation, and additional documents depending on the applicant, including corporate and authority records, an activity narrative, and facility location information.
What fees are listed on the application?: The form lists a $100 application fee and a $50 first-year registration maintenance fee. It also describes annual maintenance payments and a monthly late charge for unpaid balances.

Need something notarized?

This Right of Way Occupancy Application for Certificate of Registration doesn’t need a notary — but if you have another Mentor form that does, a commissioned online notary can help.