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City of Palm Coast City of Palm Coast
Road Closure Request Form

This form must be submitted a minimum of three days prior to the closure of a road/lane. If your request is NOT approved, staff will be in contact with you.

* Applicant / Contact Name

* Company Name

* Contact Telephone

* Contact Email

* Description / Location of closure (in detail)

* Date of Closure

* Times/Duration of closure

* Reason for Closure

* Attach a site plan including the maintenance of traffic : (upload pdf, doc, or docx)

City of Palm Coast City of Palm Coast
About Our City | For Residents | For Businesses | Local Government City of Palm Coast
160 Cypress Point Parkway
Suite B-106
Palm Coast, FL 32164
Tel: (386) 986-3700
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