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2. 
4. Applicant Information
5. Driveway Permit Fee:

   $25.00. Fees may be paid via check, credit card, or E-Check (if paying by credit card, a convenience fee will be added to the total. If paying by E-Check, a flat rate of $1.75 will be added to the total).
   
   

7. Before completing this permit, please read the following:
   Road Responsibility Map

   To confirm that the project address associated with this permit is located on an unincorporated township road please click the above link, "Road Responsibility Map". NOTE: Roadways lined in yellow are unincorporated township roads. All others in blue are NOT maintained by Beavercreek Township. 

9. I have reviewed the Road Responsibility Map and confirm that the project address associated with this permit is located inside the unincorporated portion of Beavercreek Township.*

   1. Yes
11. Applicant Name:*
12. Email Address:
14. Address:*
15. City:*
17. State:*
18. Zip Code:*
19. Phone Number:*
23. Property Location & Information
25. Address:*
27. City:*
28. State:*
29. Zip Code:
31. Subdivision:*
32. Lot Number:*
36. Installations
38. Installation Description:*

    1. New Access
    2. Existing Upgrade
    3. Non-Curb & Gutter
39. Non-Curb & Gutter - Distance from Utility Boxes, Fire Hydrants, Catch Basin:
    Minimum 8 feet.
43. Piping

44. *For tile size and placement please consult development construction plans. 

46. Culvert Pipe:

    1. Steel
    2. Concrete
    3. Other
47. Pipe Length:
    Minimum 30 feet.
49. If "other" please explain material:
53. Driveway
55. Driveway Width:
59. Drive Apron & Intersection
61. Drive Apron Material:

    1. Concrete
    2. Pavers
    3. Asphalt
    4. Gravel
62. Intersection:

    1. N/A
    2. Minor
    3. Major
63. Intersection Distance:
    Minimum 50 feet minor, 200 feet major.
67. Driveway Installation Specification
    Driveway Installation Specification
68. I have read the Driveway Installation Specification Sheet*

    1. yes
70. Do you have plans to attach?

    1. Yes
    2. No
71. Please describe planned actions:
73. Attach plans below:
74. Additional plans
76. Applicant Signature:*
77. Date:*
    Date:
79. Permit Fees

    Fees may be paid via check, credit card, or E-Check (if paying by credit card, a convenience fee will be added to the total. If paying by E-Check, a flat rate of $1.75 will be added to the total).

81. Permit Price
    Permit Total
82. Price
83. Quantity
84. Shipping Cost
86. Taxable
Leave This Blank:


89. Calculate Totals Proceed to Checkout

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