Encroachment Permit | City of Alexandria Kentucky

General Information

Applicant *

Property Owner
Contractor

Applicant's Email *

Project Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Project Subbase:

Parcel ID (PIDN)

Contractor Information (if applicable)

Contractor

Contractor Phone #

Contractor Address

Address Line 1

Address Line 2

City

State

Zip Code

Contractor's Occupational License #

Property Owner Information

Property Owner Name *

Mailing Address (if different from project address)

Address Line 1

Address Line 2

City

State

Zip Code

Type of Encroachment *

Materials *

Concrete
Asphalt
Other

Depth *

Description of Subbase: *

Driveway Slope: *

Toward Structure
Toward Roadway

Estimated Cost: *

Is this the driveway, ditch and/or culvert marked in the field? *

Yes
No

Is this project located in the Floodplain? *

Yes
No

Is this project located on a Hillside Slope of 20% or greater? *

Yes
No

Acknowledgement:

I hereby certify that i am requesting this review on behalf of all owners of this property. All fees are due at the time of application and are not refundable, regardless of the decision of the Roadway Department, Building Inspections, Planning Commission, Board of Adjustment and/or their authroized agent.

Signature

Clear Signature

Date / Time

Date

Time

Encroachment/Addressing Permit

This is for any new addresses and or driveways being installed.

General Information

Contractor Information (if applicable)

Property Owner Information

Acknowledgement: