3. STREET CLOSURE PERMIT
   City of Farmington | Public Works Department
5. Date of Request
7. Street(s) to be closed
9. From (Street)
10. To (Street)
12. Reason for Closure
14. Date
15. Day
16. Time
18. Contact Person:
20. First Name
21. Last Name
23. Address1
25. Address2
27. City
28. State
29. Zip
31. Phone
33. Instructions:
    1. Permit request must be submitted to the Public Works Administration Office or Traffic Engineer a minimum of five working days prior to the proposed street closure.
35. 2. Applicant must be able to demonstrate that all property owners on street affected have been contacted and concur with the street closure request. Any complaints resulting from the closure will be referred to the contact person and may be grounds for the City to refuse to issue future street closure permits.
37. 3. The Applicant is responsible for making arrangements with the Traffic Division for the pick-up & return of barricades, setting up the barricades before the closure, removing them after the closure, and returning them to the Traffic Division. Please call 599-8214 or 599-8201.
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field