Fillable Single Trip Oversized Truck Application (City of Council Bluffs)

Fill Online, Printable, Fillable, Blank Single Trip Oversized Truck Application (City of Council Bluffs) Form

Use Fill to complete blank online CITY OF COUNCIL BLUFFS (IA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Single Trip Oversized Truck Application (City of Council Bluffs)

On average this form takes 15 minutes to complete

The Single Trip Oversized Truck Application (City of Council Bluffs) form is 1 page long and contains:

  • 0 signatures
  • 51 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Council Bluffs

BROWSE CITY OF COUNCIL BLUFFS (IA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Issued to:
Address:
Phone: Fax:
Object or Load:
Serial Number:
SME Plate No.:
Tow Away:
Yes
No
Self-Propelled:
Yes
No
Yes No Yes No Single:
Yes No Yes No Double:
Yes No Yes No Triple:
Yes No Yes No Quad:
Yes No
Yes No Yes No Total Weight:
Yes No
Axle Spacing:
Note: City's approval of this route is not a guarantee of it's availability, safety, or navigability.
REQUIREMENTS: These requirements must be reviewed by applicant and agree with State regulations when applicable.
Yes N/A Amber revolving light/strobe light with 360 degree visibility.
Yes N/A Front Rear
Yes N/A Law enforcement escort
Yes N/A SME Plate must be displayed when applicable.
Yes N/A Over dimensional signs and flags must be displayed.
Yes N/A Load must slow or stop when necessary to avoid approaching traffic when centering.
Yes N/A Round trip - return within valid dates below.
Yes No
Will route cross over any City bridges? If yes, list the location(s).
Yes No Will route cross under any City bridges? If yes, list the location(s).
Valid Dates: To
Applicant (Print): Date:
Signature: CC: Auth _____________________
City Official (Print):
Signature:
Receipt No.
Permit Fee:
Budget Code:
Rear Projection:
Total Number of Axles:
The State will allow this load on the Interstate per the conditions stated on this permit.
Requested route through the City limits:
Front Projection:
Overall Length:
Dimension/Over-dimension
Width:
Height:
Trailer Length:
Load Length:
Axle weights/Varied axle weight
INFORMATION: Are variance(s) requested? If yes, applicant must provide the variance as well as the statutory limit.
City/State/ Zip:
PERMIT ISSUED BY:
CITY OF COUNCIL BLUFFS, IOWA
ANNUAL
CITY PERMIT NUMBER:
Permit accuracy, information, and requirements provided are the responsibility of the applicant and/or driver, and must be in accordance with the Iowa Department of Transportation permit
regulations, Iowa Administrative Code. Permit issuing authorities will not be responsible for any damages that are a result of the move. This document must be accompanied by an Iowa Department
of Transportation permit if entering or exiting the City on a Federal or State Roadway.
OVERSIZE PERMIT
LENGTH - WIDTH - HEIGHT - WEIGHT
5.) Necessary State and/or County permits must be obtained separately............STATE PERMIT NUMBER:
1.) Must carry copy of permit.
3.) Hazardous materials must be transported in compliance with applicable Federal regulations.
4.) Road must be clear of ice and snow with visibility of at least 1/4 mile.
Civilian escort
Rear
Front
Front w/ Height Pole
Date:
Treasurer's Stamp
6.) Special requirements:
C02001-419010
For Office Use Only
$25.00
Annual Expiration:
REV 5/2018
(712) 890-5296
7.) Permit to be filed 24 hours prior to hauling loads.
SINGLE TRIP
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Single Trip Oversized Truck Application (City of Council Bluffs)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 5 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document