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Temporary Road Closure Permit Application

Complete this form to obtain a Temporary Road Closure Permit for road construction, excavation or uncontrolled situations.

Applications are reviewed during business hours Monday to Friday 8:30 a.m. to 5 p.m., excluding holidays. Please allow 3-5 business days to process your request.

Your personal information is being collected under the authority of section 25 of the Local Authority Freedom of Information and Protection of Privacy Act. This information will only be used to administer the program/activity it was collected for. If you have any questions about the collection, please contact the Office of the City Clerk at 780-875-6184 or email cityclerk@lloydminster.ca.

Type of Request:

Road Closure

Lane Restriction

Is Any Excavating Being Performed?

Yes

If you do not yet have an excavation permit, please contact City of Lloydminster Engineering at 780-874-3700.

CONTACT INFORMATION

Company Name:

Applicant's Name:

Address:

City:

Province:

Postal Code:

Phone Number:

Fax Number:

Email:

Are you the Main Contact Person?

Yes

Main Contact Name:

Main Contact Phone Number:

ROAD CLOSURE INFORMATION

Road(s) to be Closed:

Start Date of Closure:

Finish Date of Closure:

Start Time of Closure:

Finish Time of Closure:

Purpose of Closure:

Detour Plan Required:

Yes

Signature of Applicant: (Sign using your mouse or finger)

Clear

Click "continue" button below to submit the form.