Application Form: Travel Permit - Perth County

County of Perth
TRAVEL PERMIT APPLICATION
Court House, 1 Huron Street, Stratford, Ontario N5A 5S4
PHONE: (519) 271-0531 FAX: (519) 271-6265
ANNUAL
SHORT TERM
(12 months from date of issue) (10 days from date of issue)
For Loads & Vehicles not greater than 5.0 metres in width, 70,000 kg GVW, 4.87 metres in height, or 45.74 m in length
For Loads & Vehicles greater than 5.0 metres in width, 70,000 kg GVW or 4.87 metres in height, or 45.74 m in length
NAME OF APPLICANT:
SHORT TERM ONLY - ROUTE REQUIRED
Postal Code:
TEL:
e-mail:
FAX:
DESCRIPTION OF VEHICLE:
PLATE No:
OVERALL WIDTH:
OVERALL HEIGHT:
(Permit required for each vehicle)
OVERALL LENGTH:
OVERALL WEIGHT(Vehicle and Load):
m
Tonnes
ROUTE FOR SHORT TERM PERMIT:
START DATE FOR SHORT TERM PERMIT:
PERMIT FEE:
Please check
PAYMENT FOR PERMIT TO BE RECEIVED BEFORE PERMIT IS ISSUED.
$150.00 Annual Permit fee for the initial vehicle permit issued under the Applicant's name for a oneyear
period.
$15.00 for each additional Annual Permit issued under the Applicant's name for the same one ar
period as the initial permit. (Permit form required for each vehicle)
$15.00 Short Term Permit fee for each vehicle permit issued for a ten day period (Permit form
required for each vehicle).
Please make cheque payable to “County of Perth” and forward with permit request to:
County of Perth, Corporate Services Department, Court House, 1 Huron St., Stratford, Ontario, N5A 5S4
PERMIT NO.
Approved by:
Date Issued:
Public Works Department
Date Expired: 519-271-0531 Ex 311

THE MOVER AGREES TO THE FOLLOWING CONDITIONS OR THE PERMIT IS NOT VALID AND FURTHER
PERMITS WILL NOT BE GRANTED:
GENERAL CONDITIONS:
Where a Permit is issued in respect of:
1. HEIGHT: The load shall not be composed of articles loaded on top of the other.
2. WIDTH: The load shall not be composed of articles loaded side-by-side or crosswise.
3. LENGTH: The load shall not be composed of articles loaded one behind the other and any overhang to the rear shall
not exceed 1.5 metres from the centre of the rear most axle, unless marked as per Section III of the Highway Traffic Act.
4. WEIGHT: The load shall not be composed of more than one article. When crossing bridges, vehicles of over 45.4
tonnes gross weight must use the centre of the roadway and be operated at the lowest practicable speed.
5. SIGNS: Vehicles and loads in excess of the length prescribed under Section 109 of the Highway Traffic Act shall, in
addition to the flags required, display on the rear, in a clearly visible position, a sign bearing the words "Long Load" in
black letters at least 200 mm high with lines forming the letters at least 30 mm wide on yellow background.
6. ESCORT: When escort is required, the escort vehicle shall precede the vehicle and load on a two-lane highway at a
distance of 60 metres bearing a sign reading "Caution Oversize Load Follows", or follow the vehicle and load on a fourlane
highway bearing a sign reading "Caution Oversize Load Ahead". The sign should be in black letters at least 200
mm high with lines forming the letters at least 30 mm wide on a yellow background.
SPECIFIC CONDITIONS:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)
That no moving can take place without a signed permit.
Private escort is required for loads 4.0 to 5.0 metres wide, 36.76 m to 45.74 m in length or greater than 4.15 metres in
height. Police escort is required for loads over 5.0 metres in width and 45.74 m in length.
This Permit only valid on Perth County roads (does not include urban centres of Mitchell, Listowel, Milverton,
Stratford or St. Marys) .
The original of this Permit must be carried in the vehicle and produced on demand of a Police Officer or an Officer
appointed for carrying out the provisions of the Highway Traffic Act. An e-mailed or faxed copy of approved permit
deemed to be original.
It is the movers responsibility to ensure the route selected is suitable, which includes notifying any utilities.
Where heights exceed 4.15 metres, approval is required from Utility Companies.
The move shall be in daylight hours, during good visibility.
Vehicles and loads of the width and/or length prescribed under Section 111 of the Highway Traffic Act shall be marked
with four(4) red flags or markers, one as near as practicable to each corner of the vehicle or load.
The owner and/or mover of the load being moved shall indemnify and save harmless the County of Perth against any
actions, claims, damages, loss, actions or other proceedings, by whomever brought or made based upon, occasioned by or
attributed to the issuance of this Permit.
The Permit holder assumes all responsibility for damage to any property including public utility overhead wires.
The overweight privileges contained in this Permit are not valid on Perth County Roads during the months of March and
April.
Other conditions:
DATE: By: _______________
Print name:
NOTE: The County reserves the right to cancel this Permit at any time without notice.