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Permit preparation

Street Closure Request - General Public

Engineering / Board of Public Works and Safety · Mishawaka, Indiana

Your application steps6 steps · Engineering / Board of Public Works and SafetyView steps
  1. 1Prepare the documentComplete here

    Select a blank on the city PDF and type directly into it, or use the accessible field list. Save your draft and review all pages.

  2. 2Gather supporting documentsPrepare here, finish outside

    Upload applicable supporting files to keep the packet together. Original documents, physical items, and professional approvals still follow the city’s instructions.

    • Closure plan and written narrative
    • Residential neighborhood: support letters and proof of notice where possible
    • High-traffic areas: traffic plan by INDOT-approved professional
  3. 3Sign and verifyPrepare here, finish outside

    Applicant signature, printed name and date on page 2 acknowledgment; city/Board approval fields remain blank.

  4. 4Confirm payment timingPrepare here, finish outside

    $0. Confirm the exact city assessment, payment method, and due date before payment.

  5. 5Submit through the correct routeOutside step

    Print the completed form and take it to Engineering Department, City Hall, 100 Lincolnway West, Mishawaka, IN 46544. Complete any required Board review before operating.

    • Submit at least 14 calendar days before desired closure.
    • Attach closure plan and written narrative; neighborhood support letters and notice where possible.
    • High-traffic closure requires traffic plan from INDOT-approved professional; Engineering pre-review recommended.
    • Board approval/denial is discretionary; preserve all acknowledgment and permit conditions.
    • Current two-page form V1.1-20230113. Applicant email field and department fax are contact information, not transmission permission.
    • Permit schedule lists no city application fee. Applicant can owe barricading, police overtime, insurance, or cleanup costs; these are not a known prepaid check amount.
  6. 6Track completionOutside step

    Wait for Board authorization before closing the street. Complete notification, traffic control, insurance, and cleanup conditions.

Official requirements and sources

Complete your application

Required fields are marked *. Fields follow the agency’s published form. Save your work before leaving this page.

Fill in the official form

Select a highlighted blank and type directly. Use Field list for larger controls and any answers that need a continuation page.

Page 1 of 2 · 28 editable blanks
PRINT FORM RESET FORM 100 Lincolnway West City of Mishawaka Mishawaka, IN 46544 DEPARTMENT OF ENGINEERING Phone: (574) 258-1619 Fax: (574) 258-1776 NON-CONTRACTOR PUBLIC STREET CLOSURE REQUEST *** REQUIRED SUBMISSION A MINIMUM OF 14 CALENDAR DAYS BEFORE THE DESIRED CLOSURE, APPROVAL/DENIAL OF ANY REQUEST IS BASED ON THE SOLE DISCRETION OF THE BOARD OF PUBLIC WORKS AND SAFETY *** APPLICANT INFORMATION Name: Phone: Fax: Address: City, State, Zip: Email: CLOSURE DETAILS Submission Date: (mm/dd/yyyy) STREET Partial closure (i.e. one lane) SIDEWALK closure Full Road closure OTHER (please describe) Original Revision Street(s) to be closed: Reason for closure: Location(s): From: To: Date(s): From: To: Time(s): From: To: Person/Entity Organizing Event: Phone: Person/Company Responsible for Clean-up/Restoration: Phone: ONSITE CONTACT Name: Phone: Please attach a plan and written narrative of the requested closure. If closure is proposed in a residential neighborhood, letters of support from the neighborhood association, adjacent property owners, and proof of notice being provided to impacted property owners should be attached to the request where possible. If closure is requested in high traffic areas, a traffic control plan created by a professional approved by the Indiana Department of Transportation should be procured and attached. It is highly recommended that this type of closure be reviewed by contacting the Engineering Department prior to submittal. These types of closures are rarely approved and are typically reserved for emergencies and required construction only. Costs for these types of closures are the responsibility of the applicant including street barricading, police overtime, and insurance. Page 1 V1.1 - 20230113

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