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2. Blaine County Road & Bridge Right-Of-Way
   Approach & Encroachment Permit Application
4. Complete this form to submit an application to approach or encroach into any of Blaine County’s road right-of-ways. Applicants should anticipate 15 days from submission of a completed application for Blaine County Road & Bridge (BCRB) review. An incomplete application will not be processed. The cost to process an application is $25.00. Payment can be made with a credit card over the phone or by check; mailed or deliver check to Blaine County Admin Services at 206 1st Ave South Ste 306 Hailey Id. 83333.
6. Approach Standard Drawing
   Click here for Approach Standard Drawing
7. Permit Conditions
   Click here for Permit Conditions
9. Permit Type: Approach

   1. New Driveway/Street
   2. Repair Approach
   3. Relocate Approach
   4. Curb
   5. Other
10. Permit Type: Encroachment

    1. Construct New Street
    2. Repair Existing Street
    3. Relocate Street
    4. Public Access Easement
    5. Fence/Sign

    1. Berm
    2. Utility Line
    3. Grading, Graveling, or Snow Plowing
    4. Other
12. Applicant or Permittee
14. Property Owner's Name
15. Contractor
16. Company Name
17. Phone Number
19. Current Use of Property
20. Contractor Mailing Address
21. Email Address
23. Primary Contact for Project
24. Contact Phone Number
25. Email Address
27. Property and Project Information
29. Physical Location of Project
30. Legal Description
    (Township, Section, Lot, Block, Subdivision)
32. Name of Nearest Crossroad or Intersection
33. Estimated Cost
34. Estimate Provided by
36. Zoning of Project
    (Refer to Blaine County GIS)
37. Project Start Date
38. Project Duration
40. Provide a short narrative of the project
    (Including proposed construction schedule)
42. Include the following with your application:

    1. Application Fee ($25)
    2. Site Plan
    3. Construction Drawing

    1. Traffic Control Plan
    2. Applicable Easement / Agreements
    3. Land Use / Building Services Approvals (Subdivision / Zoning Permits)

    Please Note: Incomplete applications will not be processed. The Application Fee will be collected after the permit is approved by the Road and Bridge Manager.
44. Upload Site Plan
45. Upload Construction Drawing
46. Upload Traffic Control Plan
48. Upload Applicable Easement / Agreements
49. Upload Land Use/Building Service Approvals (Subdivision / Zoning Permits)
51. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
53. Electronic Signature
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

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