TITLE 92: TRANSPORTATION
CHAPTER I: DEPARTMENT OF TRANSPORTATION
SUBCHAPTER b: AERONAUTICS
PART 18 AURORA MUNICIPAL AIRPORT HAZARD ZONING
SECTION 18.EXHIBIT A PROPOSED CONSTRUCTION PERMIT REQUEST


 

Section 18.EXHIBIT A   Proposed Construction Permit Request

 

ILLINOIS DEPARTMENT OF TRANSPORTATION

Division of Aeronautics

Name of Individual or Company

Making Request

 

 

Address

 

 

Street

City

Zip

Phone

Nature and Description of Proposed Structure:

 

New Construction

 

Alteration

Nearest Town:

 

Location from Nearest Town

Direction

Distance

Nearest Airport:

From Nearest Point to a Runway

Direction

Distance

Latitude

Longitude

°

'

"

 

'

"

Proposed Heights and Elevations

Site Elevation (Mean Sea Level)

Feet

Highest Point of Structure Above Ground

Feet

Overall Height above Mean Sea Level

Feet

Estimated Construction Starting Date

Estimated Construction Completion Date

Type of Structure:

Permanent

 

Temporary

 

Will Structure be Obstruction Lighted:

Yes

 

No

 

Will Structure be Obstruction Marked:

Yes

 

No

 

Remarks:

Date:

Title or Position:

Signature

 

The Illinois Department of Transportation is requesting disclosure of information that is necessary to accomplish the statutory purpose as outlined under Section 1 of the Airport Zoning Act (Ill. Rev. Stat. 1989, ch. 15˝, par. 48.1).  Disclosure of this information is REQUIRED.  Failure to provide any information will result in denial of the construction permit.  This form has been approved by the Forms Management Center.

DA-39 (Rev. 1-87) IL 494-0765