CONSTRUCTION PERMIT
RECOMMENDATION AND APPROVAL
OWNER:
DESCRIPTION:
PURPOSE:
The undersigned owner(s) grant to the State of Wisconsin, Department of Transportation, a temporary right to occupy and use the owner’s land for the above stated purpose, so long as required for such purpose, and to operate necessary equipment thereon, including the right to preserve, protect, remove or plant any vegetation that the highway authorities may deem desirable to prevent erosion of the soil.
This permit shall terminate upon completion of the construction project for which this instrument is given.
(Owner)	(Date)
(Owner)	(Date)
RECOMMENDATION / PREPARED BY:
(Date)
APPROVED FOR DIVISION OF TRANSPORTATION SYSTEM DEVELOPMENT:
(Date)
Project:	County:	Parcel: