Required fields are marked with asterisks (*)

Right-of-Way Permit Application

Prior to submitting this application please read and understand the information on The Town of LaSalle's "Right of Way Permit" Webpage.

For any questions please contact the Public Works Department at 519-969-4143.

Applicant Information

Applicant's First Name

Applicant's Last Name

Business Name (if applicable)

Applicant's Street Address

Unit Number

City/Town

Postal Code

Applicant's Phone Number

Applicant's Email Address

Location of Proposed Work

Address of proposed work

City/Town

Description of Proposed Work

What are you proposing to do in the Town Right-of-Way?

Road or Lane Closure

Infilling a Ditch

Driveway Work (New or existing)

Lot Servicing Work

Third Party Utility Work

Access to Private Property

Landscape Encroachment

Other

Please describe your anticipated schedule for the proposed work, if approved

Restoration

After the completion of any work on Town owned property, the Town requires that the area is restored to the same condition, or better, than prior to the start of the work. All restoration must be completed in accordance with the Town’s Right of way Restoration Standards.

I have read and understand the Town of LaSalle Restoration Standards Document.

Yes

Privacy Statement: Personal information collected on this form is collected pursuant to the Town of LaSalle Policies and applicable bylaws. Information will be used for processing requests for Right-of-Way Permit Applications. Questions about the collection of this information should be directed to the Director of Council Services/Clerk, and can be reached at 519-969-7770 ext. 1223