What is the Right of Way Permit Application for?

It requests permission to work on or occupy a City road, street, alley, public place, or structure.

Do I need a notary for the Right of Way Permit Application?

No. The applicant signs the form without a notary, and the document does not identify an attachment or related step that must be notarized or sworn.

How do I submit the Right of Way Permit Application?

File it with the City Supervisor. Include drawings in triplicate if required; the city-use section lists a $225 fee.

South Bend, WA · Pacific County

No notary required

Right of Way Permit Application

This application requests permission to work in or occupy a City of South Bend right of way and is completed by the applicant or contractor.

What this form is

Applicants use this form to request a permit for work on or occupation of a City road, street, alley, public place, or structure. It asks for applicant, contractor, and project details, including the work location, description, and proposed dates; it also sets out permit conditions. The instructions say to file the application with the City Supervisor, with drawings in triplicate if required.

Who needs it

Applicants planning work on or occupation of a City right of way, including utilities or work under granted franchise rights, should file this application.

How to submit it

File the application with the City Supervisor. The instructions say to include drawings in triplicate if required; the city-use section lists a $225 fee.

About notarization

This document is signed without a notary; the applicant signs the form, and it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download The Application
Download the Right of Way Permit Application.
2
Complete The Application
Provide applicant, contractor, and project information, then complete the signature section.
3
Gather Required Drawings
Include drawings in triplicate if required by the City Supervisor.
4
File With The City Supervisor
File the application with the City Supervisor; the city-use section lists a $225 fee.

Frequently asked questions

What is the Right of Way Permit Application for?: It requests permission to work on or occupy a City road, street, alley, public place, or structure.
Who should file this application?: Applicants planning work on or occupation of a City right of way, including utilities or work under granted franchise rights, should file it.
Do I need a notary for the Right of Way Permit Application?: No. The applicant signs the form without a notary, and the document does not identify an attachment or related step that must be notarized or sworn.
How do I submit the Right of Way Permit Application?: File it with the City Supervisor. Include drawings in triplicate if required; the city-use section lists a $225 fee.

Need something notarized?

This Right of Way Permit Application doesn’t need a notary — but if you have another South Bend form that does, a commissioned online notary can help.