12/23/15
Copy to: Applicant & File
* Sec. 35-125. Permit application.
Any person desiring to obtain a right-of-way concrete permit shall submit to the city engineer, in writing on a form approved by the city manager
and provided by the city engineer, all required information. In addition, the applicant may be required to provide other pertinent information as
the city manager or city engineer may reasonably deem necessary. An application is considered complete when all materials necessary to make a
determination on the application have been received.
(Ord. No. 15-10805, § 1, 10-5-15)
Items #2-#11 to be completed by applicant
1. Permit Number (will be assigned by staff)
2. Address (where work will be done)
3. Property Owner (per recorded legal deed)
4. Legal Description
If necessary, please include plans for any new concrete or if changes are being made to existing concrete:
5. Sidewalk dimensions __________ feet long __________ feet wide
6. Driveway approach dimensions __________ feet long __________ feet wide
7. Curbing dimensions __________ feet long
The fee for this permit is included in the Comprehensive Fee Schedule on the City Website
Inspections are required for the work performed in conjunction with this concrete permit
Please call 785-309-5725 to request inspections for the right of way concrete work
8. Contractor (company name)
9. Applicant’s Name
10. Signature of Contractor
(or applicant representing contractor)
11. Date
Application Approved By (signature of plan
reviewer)
Date of approval
Right-of-Way Concrete Application
Driveways, Sidewalks, Curb & Gutter or any other concrete
*Per Salina Code 35-125
Department of Public Works
300 W. Ash Street, Room 205
Salina, KS 67401
785-309-5725
