Application for permission to close a County Trunk Highway.

Please fill out all applicable information below. Reference Road Closure or Special Event Policy.

This permit has an associated fee. In order to view costs for this permit, please refer to the Highway Department Fee Schedule for the current year located HERE. Invoices and receipts will be sent to the email address provided. Checks should be made out to the Kewaunee County Highway Department and mailed or delivered to:

Kewaunee County Highway Department
E4280 County F
Kewaunee, WI 54216

*NOTE: Submittal of this form constitutes a signature, confirms the accuracy of the data provided, and provides agreement to the terms in the disclaimer.

The applicant hereby requests permission to close the marked route as described, during which time the applicant will provide a temporary route for county trunk highway traffic as designated in this application.

If detouring traffic onto a city, village, or town road, applicant MUST obtain permission from the city, village, or town for such a detour.

The applicant agrees to, and will abide by, the conditions listed below:

APPLICATION CONDITIONS

The applicant shall accept full responsibility for the use of the local roads and streets for the temporary routing of the county trunk highway, and it shall make no claims against the County by reason of their use.
The applicant shall minimize as much as practicable the duration of the closure of the highway, including providing for assembly and dispersal of parades in areas removed from the county highway.
The applicant shall be responsible for any and all traffic and crowd control measures consisting of appropriate and adequate marking, signing, barricading, and police protection. Any type of lane/road closure shall comply with the current MUTCD (Manual for Uniform Traffic control Devices).
The applicant shall provide notification to all individuals and/or business(es) directly affected by the closing of CTH_____________ as to the date and time of closure.
The applicant shall provide a general notice to the public as to the location(s), date and time of closure, preferably by a notice published in area newspaper(s).
The applicant shall secure adequate insurance, not less than $1,000,000 (one million) dollars to protect against liability exposure related to subject event. As a requirement of this permit, a Certificate of Liability Insurance document MUST accompany the application/permit in order to be valid. The applicant may request waiver of the insurance requirement from the Kewaunee County Highway and Solid Waste Committee.
Applicant/Permittee, successors, and assignees agree to hold Kewaunee County, its agent and employees harmless against any action for personal injury or property damage sustained by reason or exercise of this permit.
Special Requirements and Restrictions: ________________________________________

*NOTE: Submittal of this form constitutes a signature, confirms the accuracy of the data provided, and provides agreement to the terms in the disclaimer.