Millersburg, PA · Dauphin County
Street Closure/Excavation Permit Application
Contractors use this application to request permission from Millersburg Borough to close a public street for construction or maintenance on private property.
What this form is
Millersburg Borough requires contractors to obtain a permit before closing a public street for construction or maintenance on private property; some closures are exempt, and other purposes require a separate facility use agreement. The application requests contractor and contact details, street location, closure dates and times, and work details. Contractors must provide a certificate of insurance, and the document describes fees and excavation requirements.
Who needs it
A contractor planning a public street closure for construction or maintenance on private property needs this application, unless the closure is exempt from permitting.
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 and dated without a notary; the document lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Street Closure/Excavation Permit Application PDF.
- 2
Complete the Application
Provide contractor and contact information, street locations, requested dates and times, and details of the proposed work.
- 3
Gather Required Documents
Provide a certificate of insurance showing the required coverage and listing Millersburg Borough as additionally insured.
- 4
Submit to the Borough
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Street Closure/Excavation Permit Application?
- Contractors requesting a public street closure for construction or maintenance on private property use this application to seek a Millersburg Borough permit.
- What information and documents does the application request?
- It requests contractor and contact details, street locations, dates and times, and proposed work information. Contractors must also provide a certificate of insurance.
- Do I need a notary for this application?
- No. This application is signed and dated without a notary, and the document lists 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.