Application Fee:  $25.00

                                                                                                Paid ________________

TOWN OF BRIDGTON

3 Chase St., Suite 1, Bridgton, Maine 04009

207-647-8786

DRIVEWAY ENTRANCE PERMIT APPLICATION

Name of Property Owner: _______________________________________________

Mailing Address: ______________________________________________________________________

Work Phone: ___________________________               Home Phone: ____________________________

Property Location: _____________________________________________________________________

Map: _________________   Lot: __________________

Proposed starting date for construction: _____________________________________

Name of Contractor: ____________________________________________________

Contractor’s Mailing Address:____________________________________________________________

Contractor’s Phone Number: _____________________________

NOTE:  This form will be forwarded to Jim Kidder, Public Works Director, for his review.  Please flag the location of the proposed driveway.  Driveway Opening location MUST BE CLEARLY MARKED.  The Public Works Director will inspect the location and will contact you.  If you have any questions, please call the Public Works Director at 207-647-2326.

Comments: ___________________________________________________________________________

_____________________________________________________________________________________

_____________________________________                                  _______________________________

Property Owner Signature                                                                                            Date

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Public Works Director Comments:_________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Town Road  _____________              Private Road  ____________              State Road  ____________

Footage from nearest numbered driveway/Intersection :____________________

11/06