Public Works Permits Annual OS/OW Company Move Permits Company Single Trip Move UID # 36675 Annual OS/OW Company Move Permits: Permit # ACMP-2022-0047 App. Status: IncompleteFreeborn County Public Works 3300 Bridge Av Albert Lea, MN 56007 507-377-5188
Applicant
Company Representative:
Name:
Derek Sager
Company Name:
Ulland Brothers Inc
Phone:
(507
) 383
- 6862
eMail:
dsager@ulland.com
Mailing Address:
2501 East Main St
Albert Lea
MN
56007
Vehicle
Vehicle License Plate Number:
PAH5063
Vehicle Year:
2007
Vehicle Make:
MACK
Vehicle Model:
CHN613
Attachments:
Trailers
Trailer(s):
Identification
Build
Trailer License
Trailer State
Trailer Make
Trailer Model
2189STU
MN
Rway
T4021TRI
Move Date/Other Permits
Date of Move:
Number of Duplicate Moves Today and number of days? Example "10 x 6" for 10 loads a day for 6 days.
10-6
Are there any other State, City or Township Permits?
No
Please Upload and Attach Other Permits:
Overall Dimensions
Description of Load:
Hot Mix/Millings
Overall Length of Truck, Trailer, and Load (nearest foot):
65
Width (nearest 1/2 foot 12.5, 13.5 for example):
8
Height (nearest 1/2 foot 12.5, 13.5 for example):
13
Front Overhang (nearest foot):
Rear Overhang (nearest foot):
Left Overhang (nearest 1/2 foot 12.5, 13.5 for example):
0
Right Overhang (nearest 1/2 foot 12.5, 13.5 for example):
0
Axle Configuration
Configuration:
4316
Axle(s):
Axle Group
Axle Weight
Axle Width
Spacing
Wheels
1
12,000
8
0
2
2
17,000
8
14
4
2
17,000
8
4
4
3
17,000
8
28
4
3
17,000
8
4
4
3
17,000
8
4
4
Route
Load From:
Glenville Hot Mix Plant
Moving To:
on Freeborn County Roads to Projects
Miles Traveled on County Roads:
30 Miles
Roads:
Freeborn County Roads
Axle Fee Calculations
Calculated Moving Fee:
Dollars
Total Axle Weight:
Pounds
Number of Axles:
Axles
Total Over Design Axle Weight Value:
Invoice #12197 (05/18/2022)
Charge
Cost
Quantity
Total
Grand Total
Total
$0.00
Due
$0.00
This Application has not been submitted, so you may not pay for this Invoice.
