PERMIT – TYPE OR USE INK - MUST BE COMPLETED BY PERMITTEE
ERMITTEE
WNE R
OR
ESSEE
OF
EHICLE):
PPLICANT’S
AME
DDRESS:
TYPE OF PERMIT:
SINGLE TRIP ROUND TRIP
LIMITED CONTINUOUS OPERATION
METHOD OF MOVEMENT:
LOADED TOWED
OWN POWER
OWE R
NIT
ESCRIPTION:
ICENSE NUMBER:
DESCRIPTION OF OBJECT OR VEHICLE TO BE MOVED (INCLUDE MAKE AND MODEL OR SERIAL NUMBER AND ATTACHMENTS.)
(OVERWEIGHT MOVES SHALL CONSIST OF A SINGLE OBJECT.):
AXLE WEIGHTS (BEGINNING WITH STEER AXLE):
AXLE SPACING (DISTANCE FROM CENTER TO CENTER, BEGIN WITH STEER AXLE):
ROUTE (OVER WHICH STREETS):
TO (SPECIFY DESTINATION WITHIN DECATUR OR “CITY LIMITS” IF OUTSIDE THE CITY):
THIS AUTHORIZATION IS ONLY FOR THE USE OF CITY STREETS ON THE DATES LISTED ABOVE. IN THE EVENT THAT TRAVEL WILL OCCUR ON NON-CITY STREETS, THE NECESSARY
PERMITS MUST BE OBTAINED FROM THE CONTROLLING AGENCY (STATE, COUNTY, TOWNSHIP, ETC). THIS PERMIT DOES NOT ALLOW THE HOLDER TO VIOLATE ANY ILLINOIS
LAW, INCLUDING BUT NOT LIMITED TO ANY PROVISION OF THE ILLINOIS VEHICLE CODE.
THE DRIVER OF THE VEHICLE CARRYING THE OVERSIZE/OVERWEIGHT LOAD MUST HAVE A COPY OF THIS AUTHORIZATION AND MAKE IT AVAILABLE UPON REQUEST.
IF THE VEHICLE WILL BLOCK TRAFFIC OR IMPEDE MORE THAN ONE LANE COORDINATION MUST BE MADE WITH THE DECATUR POLICE DEPARTMENT TO DETERMINE THE
NECESSARY ESCORT. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE DEPARTMENT OF Public Works AT (217) 424-2747.
AUTHORIZES ONE MOVEMENT AS DESCRIBED ABOVE WITH THE FOLLOWING EXCEPTIONS AND CONDITIONS:
AUTHORIZED BY:
ITLE:
AGENCY: Public Works Department
ATE:
FOR VERIFICATION OF PERMIT CALL (217) 424-2747
City of Decatur, Illinois
Public Works Department
APPLICATION FOR AUTHORIZATION TO MOVE
OVERSIZE/OVERWEIGHT MOVEMENT OVER
CITY STREETS
#1 Gary K. Anderson Plaza
Decatur, Illinois 62523
Phone: (217)424-2747
Fax: (217)424-2799
