vacation request Application

Applicant Information

Applicant Name:
Phone: / Email Address:
Mailingaddress:
City: / State: / ZIP Code:

alley/easement/street Information

Complete Legal Description:
 Attach a map showing the alley/easement/street.

utility agencies

Agency Representative Signature / Phone No. / In Place Utilities? / Comments/Concerns:
Quest: /  Yes /  No
Xcel Energy-Gas: /  Yes /  No
Xcel Energy-Electric: /  Yes /  No
East Central Energy: /  Yes /  No
Charter: /  Yes /  No
Sauk Rapids Public Works Dept.: /  Yes /  No

signatures of property owners adjacent to alley/easement/street

Street Address / Signature

Justification for Requested Vacation

erosion control permit also needed?

Sauk Rapids Ordinance Section 14.04 requires an Erosion Control Permit for any of the following activities:
Land disturbance activity in excess of 5,000 square feet
Land disturbing activity that disturbs more than 200 lineal feet of road ditch, grass waterway, or other channel; including the placement, repair, or removal of any underground pipe, utility, or other facility within the cross section of the channel
Any new public or private road or access drives longer than 125 feet
Development that occurs in conjunction with a subdivision plat or any building permit for a new home or multi-family complex.
Temporary stockpiling of fifty (50) or more cubic yards of excess soil on any lot or other vacant area shall not be allowed without issuance of an Erosion Control Permit (and any other permit required by city ordinance) for the earth moving activity in question.
Land disturbing activity that disturbs less than 5,000 square feet of land that has any of the following characteristics:
Within 25 feet of a waterway
Highly erodible soils
Any land disturbing activity that the City determines to have a high risk

Applicant Signature

Applicant: / Date:

For office use only

2009 Fee: $400 plus attorney fees if applicable / Receipt No.: / Date Received:

Mailing Address: City of Sauk Rapids; 115 2ND AVE N; Sauk Rapids, MN 56379  Phone: 320.258.5300 9/23/2018