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Access Permit Application

  1. Only ONE access location per application

  2. Application is hereby made to Lancaster County Engineering Department: Pursuant to County Board Resolution #3708 by:

  3. Is there a Second Applicant or an Agent for the Owner?*

  4. Agent, If different from owner add company name

  5. Legal Description of Property

  6. Legal Type to use*

  7. or Fractional part of Section(if applicable)

  8. Driveway Information

  9. Is this an Existing Driveway?*

  10. (Residential or Accessory = 16' Min, 25' Max. Field or Commercial 35' Max.)

  11. Has the Driveway been Flagged?*

    Flags are available at the County Engineers office or at Maintenance Stations

  12. List material used

  13. Do you require an onsite meeting with a District Supervisor?*

  14. Signature page

    The owner/applicant declares that all information provided on this form is to the best of their knowledge, true and complete. They further understand receipt of the driveway permit does not constitute approval to begin any building construction. Also, the owner/ applicant agrees to notify County Engineering Department when work covered by this permit has been completed and is ready for final inspection and installation approval.

  15. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  16. Owner/Applicant must sign within 48 hours of submitting permit to continue the application process. If the applicant is not the owner of the property, we require this application also to be signed by the property owner or their legally authorized representative. This signature shall constitute agreement with this application by all owners-of -interest unless otherwise stated in writing. If a permit is issued, the property owner, in most cases will be listed as the Permittee.

  17. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  18. Allow a minimum of 7-10 working days for permit processing, weather permitting.

  19. CORRUGATED METAL PIPE CULVERT shall be installed by the applicant at their expense. Plastic Culvert Pipe is NOT allowed.

  20. NOTE: Final acceptance and approval for this access is contingent upon compliance with the access permit requirements and application guidelines as determined by a post construction/installation field inspection

  21. Leave This Blank:

  22. This field is not part of the form submission.