Fillable Site Grading Permit Applicant & Contractor Information (City of Republic, Missouri)

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Site Grading Permit Applicant & Contractor Information (City of Republic, Missouri)

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The Site Grading Permit Applicant & Contractor Information (City of Republic, Missouri) form is 2 pages long and contains:

  • 1 signature
  • 7 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Republic, Missouri

BROWSE CITY OF REPUBLIC, MISSOURI (MO) FORMS

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Republic BUILDS
Community Development & Public Works Department
204 North Main Republic, Missouri 65738-1472
Phone: (417) 732-3150 Fax: (417) 732-3199
www.republicmo.com
1 of 2
Site Grading Permit
Permit Number: Subdivision/Project: Zoning:
Date Issued: Location:
Applicant & Contractor Information
Owner: Phone:
Address: City: State:
Contractor: Supervisor on-site:
Phone: Address:
City: State:
Description of work to be associated with this permit:
Commercial Property _____ Residential Subdivision _____
Multi-Family Property _____ Manufacturing _____ Other:
Republic BUILDS
Community Development & Public Works Department
204 North Main Republic, Missouri 65738-1472
Phone: (417) 732-3150 Fax: (417) 732-3199
www.republicmo.com
2 of 2
Attached Items: Grading, Sediment, and Erosion Control Plans
Other Permits to be submitted with this Application:
NPDES Storm Water Permit:
404 Permit (If Required):
DNR Land Disturbance Permit:
Letter of Credit $ Bond $ Check $
Plan Review Fees: $
Permit Fees: $
Comments & Conditions:
This permit is issued pursuant to the requirements of the applicable codes and regulations adopted
by the City of Republic and in accordance with the conditions stated herein. This permit expires 180
days after issuance if work has not commenced or if the work authorized by this permit is suspended
or abandoned for a period of 180 days after the time that work commences.
All inspections are to be called in to the 24-hr inspection line: (417) 732-3170, with the request of a.m.
Or p.m. This includes all types of inspections. Concrete work is the only inspection that you may
request a specific time.
All inspection requests received by 2 o’clock p.m., Monday - Friday (excluding holidays), will be
scheduled for the next business day, and performed that day, if possible. Inspections not performed
will be performed on the next business day. Any inspection request received after 2 o’clock pm will
be scheduled for the second business day.
Applicant Signature: Date:
Planning Manager: Date:
Engineering Manager: Date:
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Site Grading Permit Applicant & Contractor Information (City of Republic, Missouri)

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Completed 19 January 2021

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