Terms and Conditions Agreement
Oversized Load Permit Application and Special Provisions
| Name of Applicant |
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| I agree to the terms and conditions of the Oversized Load Permit |
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Applicant Information
Contact Information
| Company Name |
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| Business Street Address |
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| City, State and Zipcode |
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| Office Phone Number |
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| Email Address |
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| Date of Application |
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Load Information
Vehicle Information
| Description of Hauling Equipment |
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Dates of Travel
| Is the Inbound Trip an Oversized Load? |
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| Outbound Date |
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| Is the Outbound Trip an Oversized Load? |
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Route Information
Date and Time Permit Processed
Date and Time of Permit Final Review
