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Right of Way Application

Apply online for right of way excavations within the Village of Middlefield. Or download, complete and return your application, including all fees made payable to:

Village of Middlefield
Attn: Zoning Department
14860 North State Ave.
Middlefield, Ohio 44062

The undersigned hereby makes application for an excavation within the right of way in accordance with the requirements of Section 921 of the Village of Middlefield Municipal Ordinances.

Date of Application*
MM slash DD slash YYYY
Name of Applicant*
First Last
Applicant's Email*
Enter Email Confirm Email
Applicant's Phone Number*
24 Hour Emergency Number for Applicant*
Applicant's Address*
Street Address Address Line 2 City State ZIP Code
Address of Premises for Work to be Performed*
Street Address Address Line 2 City State ZIP Code
Name of Contractor Performing the Work*
First Last
Contractor's Address*
Street Address Address Line 2 City State ZIP Code
Contractor's Phone Number*
24 Hour Emergency Number for Contractor*
Description of Excavation to be Performed*
File
Provide associated plans, estimates of cost, details and specifications with the application for review and approval by the Village of Middlefield. A Bond for the work will be required prior to approval.
Drop files here or

Accepted file types: jpg, pdf, Max. file size: 25 MB.
Application Fee*
Additional fees may apply depending on the permit application.
Price:
Payment Information*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Signed*
First Name Last Name

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