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Check one: Multiple Trip; Valid from effective date to expiration date (Not to exceed 12 months) Seasonal; Exempting essential commodity haulers when County spring road weight restrictions are in effect. Vehicle License No. : Route of Move: From: Anticipated Number of trips: Freight or Commodity to be hauled: Allowable Legal Gross Vehicle Weight: Description of Truck (i.e. axle configuration): Special Conditions, Route to be used, or Terms: Permit Effective Date: Permit Expiration Date: Applicant Signature Date Date This permit is valid only for the weight and/or load size stipulated in this permit. This permit is valid only for the time and date stipulated in this permit. This permit is valid only for the number of trips stipulated in this permit. This permit is valid only for the vehicle listed on this permit or attached list if more than one. This permit is valid only for the route designated in this permit. Any violations of the requirements stated on this permit will be cause for immediate revocation of said permit. County Trunk Highways desired to be used: Phone (715) 374-2575, Fax (715) 374-2495 or e-mail: [EMAIL REDACTED] County Representative Signature Telephone No. : Applicant Name: Address: City, State, Zip: Address: Douglas County Highway use only City, State, Zip: **Void during Spring postings** Acceptance of Conditions: I, the applicant, have read and fully understand the requirements and conditions of this DOUGLAS COUNTY HIGHWAY DEPARTMENT Multiple/Annual/Seasonal Trip Permit Application Raw Forest Products, Overweight Equipment, etc… Insurance Company Name: Desired Expiration Date: Permit allows: Trucks to haul regular WI weight limitations under state chapter 348.15 (posted Douglas County weight limitations do not apply) Permit allows: stated weights as listed: To: VIN Number: Return this completed form by mail, fax or email to the Douglas County Highway Department, 7417 S CTH E, Hawthorne, WI 54873 no liability for incorrect or false information provided on this application by the permitee. (Permit Required for Each Power Unit and Must be Carried in the Truck Cab) Fax No: permit, and if granted a permit, I will comply with the terms and conditions which apply. Douglas County assumes Desired Effective Date: Email: Permit allows: 98,000 lb. maximum gross weight for the vehicle as long as the gross weight imposed on the highway by the wheels of any one axle of the vehicle or combination of vehicles does not exceed 18,000 pounds Last Updated On: 9/18/2020