Heath, OH · Licking County
Application for Consent to Occupy or Use the Public Right-of-Way
Service providers use this application to request consent to occupy or use Heath’s public right-of-way for existing or proposed facilities.
What this form is
This application requests city consent for a service provider to occupy or use the public right-of-way. It asks for company and local contact information, facility locations, services, transmission medium, and, when applicable, construction plans and service area details. It also addresses indemnification, insurance, performance or security bond requirements, and evidence of a required PUCO Certificate of Authority.
Who needs it
A service provider seeking consent to occupy or use Heath’s public right-of-way for its facilities should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; the authorized representative signs it, and the form identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Public Right-of-Way Use Application PDF.
- 2
Complete The Application
Provide the applicant, local contact, facility, service, and transmission information requested.
- 3
Gather Applicable Information
Include applicable construction plans, service-area details, and information about insurance, bonding, and authority.
- 4
Submit To The City
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Public Right-of-Way Use Application?
- A service provider seeking consent to occupy or use the city’s public right-of-way uses this application to provide company, contact, facility, and service information.
- What information does the application request?
- It requests applicant and affiliate details, local contact information, facility locations, service and transmission descriptions, and applicable construction, insurance, indemnification, bond, and authority information.
- Do I need a notary for this application?
- No. The authorized representative signs the application without a notary. The form identifies no notarized or sworn attachment.
- How do I submit the application?
- Submit it to the city department named on the form; check the city website for current contact details.