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Encroachment Permit

Encroachment: the installation, maintenance or repair of: a driveway approach, sidewalk, utility facility (data and/or communications, gas, sewer, water, electric, etc.) public or private, that is installed on, over or under any portion of a public right-of-way or public easement (utility, drainage or other) or public property that requires digging, trenching, cutting of any roadway, curbing, sidewalk, etc. after the original construction of any improvements have been completed and; after the final plat has been approved and recorded and; the improvements have been inspected and accepted by the City as being complete. An Encroachment is not a utility/infrastructure improvement which has been installed in accordance with the approved construction documents as part of the original construction of a development.

Name of person completing this form(Required)

First Last

Phone Number of person completing this form(Required)

Address or location of work(Required)

Street Address Address Line 2

Please submit a map showing the locations

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Applicant Information

Full Name/Business Name(Required)

First Last

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Contractor Information

Contractor Name(Required)

First Last

Contractor Address(Required)

Street Address Address Line 2 City State ZIP Code

Contractor Phone

Temporary Traffic Control (TTC)

If needed, a plan must be submitted for approval prior to the issuance of the permit. Requires 5 working days advance notice.

TTC Contractor

First Last

Description

Street Name

Street Address Address Line 2

Missouri State Law requires utility locates for any underground excavation. Go to www.mo1call.com or call 1-800-344-7483 (1-800-dig-rite).

Missouri One Call Ticket #

Missouri One Call will notify participating members, including the City of Nixa, to locate and mark the underground utilities and any related utility main lines, which includes any City-owned traffic signal equipment service lines and lane loops when appropriate.

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Accepted file types: pdf, Max. file size: 5 MB, Max. files: 5.

Signature

I here by certify that the answers and other information on this application are true and correct and I have read and understand the above procedures and requirements as they pertain to City Ordinance and by signing this form, acknowledge compliance with these rules.

Encroachment Permit

Price:

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Card Number

Expiration Date

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Planning & Development

Department Contact

Nixa City Hall
715 W. Mt. Vernon St.
P.O. Box 395
Nixa, MO 65714

Phone: (417) 725-5850

planning@nixa.com

Hours
Monday - Friday: 8:00 am - 4:30 pm

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Overview

Apply

Encroachment Permit

Applicant Information

Contractor Information

Temporary Traffic Control (TTC)

Planning & Development

Department Contact

Related Services

Commercial Building Permits

Residential Building Permits

Code of Ordinances