Application for Driveway/Culvert Permit
(Please print legibly)
Return to: Boone County Resource Management, 801 E. Walnut, Room 315, Columbia, MO 65201
$60.00 Permit Fee must be submitted with application
Date___________________ Building Permit #_______________________ Application #_____________
Name:_________________________________________________________________________________
Mailing Address:________________________________________________________________________
_________________________________________________________________________
Email Address:__________________________________________________________________________
Telephone: (Work) __________________ Home: ____________________ Cell:____________________
911 Address:____________________________________________________________________________
Directions to site:________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Subdivision:_______________________________________________ Lot # _______________________
Zoning _____________ Parcel # ________ - ________ - ________ - ________ - ________ - ________
S-T-R _________ - _________ - _________
Indicate Driveway Type:
Gravel/Dirt Asphalt Concrete
Indicate Road Type:
Gravel Asphalt Concrete Curb & Gutter
Conditions of permit: Above construction shall be performed in accordance with Boone County Roadway
Regulations, Chapter II, Road, Bridge & Right of Way Regulations, effective date, May 13, 2004.
_____________________________________________ __________________________
Signature Date