Office Use Only
Include Area Code
(If different from petitioner address.)
(Feet - Leave Blank if Summit Entrance)
(Inches - Minimum size is 15")
The Highway Department will only install private or field entrances.
No plastic pipes are allowed.
Description or specifics of proposed location.
Upload for electronic submittal if available.
By checking "Yes", you acknowledge you have read and reviewed the Peoria County Highway Department Conditions and Restrictions for installation of Entrance Culverts.
By checking "I Agree", you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.
Authorized Peoria County Highway Signature Only
This field is not part of the form submission.
* indicates a required field