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DUBUQUE COUNTY SECONDARY ROAD DEPARTMENT RAW FOREST PRODUCTS Application for Route Approval
Application for Route Approval
Route Approval Number: ___
Dubuque County Road Dept.
Dubuque County Road Dept. 1225 Seippel Rd, Dubuque, IA 52002 Phone: 563-557-7283 Fax: 563-557-1973 Email: permits@dubuquecountyiowa.gov
This Application is for route approval for the movement of raw forest products and shall be submitted along with a copy of your current State of Iowa Annual Permit for the movement of Raw Forest Products. Dubuque County requires that an Application for Route Approval be submitted for each hauling event. Route Approval may not be granted until all structures, along the proposed route, have been analyzed for the loads and configurations provided on this application. Dubuque County reserves the right to revoke or suspend approval on ANY or ALL routes for any reason, at any time. In addition to complying with the provisions of this route approval application, the applicant still must operate within the confines of their state permit.
| TO BE COMPLETED BY APPLICANT: | |||||||||||
| Company Name: | Requested by (Applicant Name): | Date: | |||||||||
| Address: | City/State/Zip: | ||||||||||
| Phone Number: | Signature: | ||||||||||
| Trip from: Trip to: | |||||||||||
| Requested Route: | |||||||||||
| Dates Requested for Route Approval: | |||||||||||
| Power Unit Year & Make | Power Unit License No. & State | Power Unit # of Axles | Trailer Length | Trailer # of Axles | Iowa DOT Permit Number | ||||||
| Tractor + Trailer Overall Length | Width | Height | Total Weight | Load Length | Projections Front______Rear______ | ||||||
| Axle No. | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ||||
| Axle Spacing (Measure from front to back) | |||||||||||
| Axle Weights | |||||||||||
| Valid Dates: |
| Notes: Centerline all bridges at 5 mph, no shifting or braking. |
| Approved By: ________________ Date: ________________ |
This route is approved ONLY for the power unit, trailer/axel configuration, total weight and other vehicle configurations contained on this form for the valid dates shown. Any deviations from the route or vehicle configuration are fully at the risk of the applicant.