Emergency plan in the event of a breakdown. (Required for all moves)
If loaded height exceeds 17’5”, must attach written documentation for all utility companies indicating approval to disturb aerial lines across the route. Documents shall include contact
names and telephone numbers for each utility company.
If loaded height exceeds 17’5”, must attach a list of qualified contractors approved by MoDOT that will be hired to adjust, modify, remove and replace state owned property such as
signal and sign mast arms, flashers, signs, etc.
If you will need additional law enforcement assistance for traffic control is required, you must provide a list with contact names and telephone numbers.
Completion of this application does not guarantee issuance of a permit. If any problems exist that may prevent the move from reaching its destination over the state
highway system, the application will not be approved.
Allow two (2) weeks to for a route evaluation.
APPLICATION FOR HOUSE MOVE - CONTINUED
Load Information and Dimensions
Description of Object
to be Transported
I DECLARE UNDER THE PENALTY OF PERJURY under the laws of the State of Missouri and the United States of America that the foregoing information in the application is true and correct, that I
am authorized to sign this application on behalf of applicant and that the signature below is my own true and correct signature made by me and no other person. If over 120’ long, I attest that a
representative from our company has physically driven the route to be used while traveling under permit and all turns, curves, etc. can be safely negotiated. I understand that if the Superload does
encounter problems negotiating such, my company will be charged a new bridge study and permit fees and may result in the denial of future Superload applications. I also understand that failure to run
survey will result in denial of this application.