Fillable Street Closure Permit (City of Dallas)

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Street Closure Permit (City of Dallas)

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The Street Closure Permit (City of Dallas) form is 1 page long and contains:

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  • 3 check-boxes
  • 9 other fields

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File type: PDF

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Street Closure Permit
Dallas City Code Section 6.000
Applicant’s Name
Complete Address
Phone
Date of Closure
Reason for Request
Please describe the location of the street(s) you are requesting to close
Time of closure From To
I have contacted everyone on my street within the proposed closure and
there are no concerns. Please submit a letter with signatures from each
neighbor.
I agree to provide immediate access to emergency vehicles if required.
I will only use barricades provided by the City of Dallas. Someone from Public
Works will contact you at the above phone number.
Applicant’s Signature
Date
Official Use Only
File # #
Date Rc'd
Form # 8
Last Revised: 09/22/2020
File Location: I:ALL/City Forms
City Manager's Office
187 SE Court Street
Dallas, OR 97338
503-831-3502
sam.kaufmann@dallasor.
gov
Please return completed form to:
click to sign
signature
click to edit
To My Neighbors:
I have submitted a request with the City of Dallas to close our street.
The closure will take place on _________________________________________________
Printed Name Signature Address
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Street Closure Permit (City of Dallas)

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Completed 22 January 2021

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