Loading...
Driveway Permit Application DRIVEWAY PERMIT APPLICATION CITY OF LA VERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LA VERGNE, TN 37086 PHONE: 615-213-2624 FAX 615-213-8692 $50.00 Permit Fee PERMIT #________________________ Applicant Name: ___________________________________DATE:____________________ Address of Applicant: EMAIL_____________________________________________________________________ ADD @lavergnetn.gov to your SPAM “allow list” Phone number: _______________________________________________________________ Location of Proposed Driveway: ATTACH REQUIRED PLOT PLAN along with rendering PROPOSED MAXIMUM WIDTH:  New Driveway __________________________________________  Repair of existing Driveway __________________________________________  Expansion of existing Driveway __________________________________________ DRIVEWAY MATERIAL:  Concrete  Asphalt  Gravel  Other Culvert size: _______________________ Culvert type: _______________________________ Headwalls proposed?  YES  NO ___________________________________________________________________________ APPLICANT SIGNATURE AND DATE PRINT NAME ___________________________________________________________________________ APPROVED DATE