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Toledo City Application

This document is an application for a special hauling permit from the City of Toledo, Ohio Department of Public Service. It requests information such as the applicant name and company, vehicle description including make, model, license plate, dimensions and axle loads, route and timeframe of the planned haul. The applicant must sign acknowledging accuracy of measurements and agreeing to limitations listed on the back of the form regarding hauling restrictions, daylight-only movement and prohibited holidays. Upon approval, the permit will allow oversized vehicles to travel on designated routes.

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36 views1 page

Toledo City Application

This document is an application for a special hauling permit from the City of Toledo, Ohio Department of Public Service. It requests information such as the applicant name and company, vehicle description including make, model, license plate, dimensions and axle loads, route and timeframe of the planned haul. The applicant must sign acknowledging accuracy of measurements and agreeing to limitations listed on the back of the form regarding hauling restrictions, daylight-only movement and prohibited holidays. Upon approval, the permit will allow oversized vehicles to travel on designated routes.

Uploaded by

sass23
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR SPECIAL HAULING PERMIT NO.

THIS APPLICATION MUST BE TYPED

City of Toledo, Ohio MAIL Central Permit Center


Department of Public Service OR One Government Center
Division of Engineering and Construction DELIVER Suite 1600
TO: Toledo, Ohio 43604
Telephone:(419) 245-1210
Fax: (419) 245-1329
(Name of Applicant) Date:

Type of Permit
(Name of Company) Trip
Trip & Return
Quarterly
(Address) Annual
Other (Specify)
( )
(City) (State) (Zip) (Area Code) (Telephone)
Fee $ Paid BY
Nature Cash Check Money Order
of Move
ALL WEIGHTS IN POUNDS Make Checks Payable to: City of Toledo
MAKE & MODEL LICENSE NO. STATE WEIGHT EMPTY
Truck or THIS PERMIT IS VALID
Tractor
Semi-Trailer BEGINNING

Other Trailer ENDING


(Jeep, Dolly)
Description Net All Dimensions Feet & Inches
of Load Load DIMENSIONS
Including Total Vehicle & Load Overall
Make & Model Gross Length Height Width
If Applicable Weight
All weights (axle & gross) are LEGAL
Check if applicable in accordance with Section 5577.04 Load Only
Load is towed on its own frame and undercarriage Ohio Revised Code. If checked, do Length Height Width
Load is under its own power not complete axle loads & spacing
Variable trailers, see attachment list. section of this application.
AXLE SPACING AXLE LOADS TIRES MOVEMENT TO BE MADE
Feet & Inches Axle No. Gross Axle Load, Lbs. No. on Axle Sizes From:
A. 1.
B. 2. To:
C. 3. Designated Route:
D. 4.
E. 5.
F. 6.
G. 7.
H. 8.
I. 9.
J. 10.
K. 11.
12.
Total Gross Weight Estimate Number of Trips: ___________

Limitations listed on back of this application form apply. Special provisions as attached to back of this
form apply. Move only during daylight hours. Movement is prohibited on Saturdays, Sundays, and Holidays.
Permittee is responsible for providing all above listed information and measurements. PERMIT OFFICE USE ONLY
Permittee is responsible to check route for abnormal, changed or unknown conditions VOID IF BLANK, ALTERED OR UNSIGNED
which may exist during any move.
I, do hereby swear that I am the applicant or his/their legally APPROVED:
authorized representitive and that the statements made in the foregoing application are true and correct to the Division of Engineering & Construction
Distribution:
SPECIAL ATTENTION HAS BEEN GIVEN TO ENSURE THE White Orig. - Applicant
ACCURACY OF THE MESUREMENTS OF THE ABOVE LISTED AXLE Green Copy - Traffic Engineering
SPACING AND SPECIFIC VEHICLE. I UNDERSTAND THAT ONLY ONE VEHICLE Yellow Copy - Engineering & Construction
AT A TIME IS PERMITTED ON ALL BRIDGES ON THESE ROUTES. Pink Copy - Traffic Bureau
SIGNATURE Goldenrod - Streets, Bridges and Harbor
TITLE DATE

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