Uniform Municipal Excess Weight Permit (Single)
Department of Public Works
Fleet Cost: $5.00
All information must be completed before permit is issued. Permit is not valid unless accompanied by an
approved VT Excess Weight and Dimension Permit Application, TA-VP-101. Approval is hereby given for
the granting of a permit by the Department of Motor Vehicle under the provision of 23 VSA Section 1400a
and any amendments thereto, covering the operation of Motor Vehicles with gross loads as follows:
Owner:
Address:
Phone:
This approval covers only the vehicle listed above and may be withdrawn at any time in accordance
with 23 VSA Section 1400 and any amendments thereto. The following restrictions apply:
• Approval to remain in force until March 31, 2021
• Operation restricted on all City streets except designated truck routes, between 7 PM and 6 AM
• No tractor trailers on Elm Street from Malletts Bay Avenue to West Street
• Maximum gross weight 84,000 lbs
The holder of a permit shall be liable for any damage to highways or bridges per VSA
Title 23, Sec. 1400a (c) and is required to furnish the municipality a valid Certificate of
Insurance with a minimum of $100,000/ $300,000 Personal Injury Liability Coverage and
$100,000 Property Damage Coverage.
Approved By: ________________________________ __________________
Director of Public Works Date
Permit #2021___________
