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Driveway Permit Application

2. Applicant Information

4. Applicant Name*

5. Applicant's Business Name

   If applicable

7. Applicant's Address*

9. City*

10. State*

11. Zip Code*

13. Email Address*

14. Phone Number

18. Project Information

20. Site Address*

    Please refer to the map below to determine if your road is maintained by Archdale or the NC Department of Transportation (DOT). Roads maintained by the NC DOT do not require a driveway permit from the Archdale, but may require an encroachment agreement from the NC DOT (Contact - 336-XXX-XXXX).

22. 

24. Project Dimensions*

26. Project Comments

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field