Application for culverts and / or requests for 

emergency address number.

With modern GPS navigation it is very important to have accurate measurements for the assignment of emergency address numbers. For this reason I will need to have an exact physical marker for the location of where a culvert will be located if a culvert does not already exist.  You must mark that spot on site by a lath / flagged post placed at the right of way for the property adjacent to the road.    I also ask that you provide a sketch to help me with this task.

Draw arrow pointing to north.

Nearest existing Emergency number to left when facing property

            [                    ]

     Culvert size and length

Nearest existing emergency number to right when facing property.

Center of drive for address request.

Road

Property Owner _________________________________________  


Phone or email  so I can notify you of address number _______________________________________


Tax Parcel number _________________________________________                    If a recorded subdivision provide…

                                                                                                                                 Lot number ______ for  subdivision _______________________________


Property Zoning  ______________________________________________


If this is a State Hwy  contact the DOT and get a permit for placing driveway and provide that permit number _____________________________________

If this is a  Marinette County Road contact them and get their approval for a driveway and provide that permit number. _____________________________