DOT Application for Lease of Property

APPLICATION FOR

LEASE OF PROPERTY

(To Be Completed By Lessee)

(Please Use Complete 3-Line Address)

Nearest City or Town Property is Located Full Name and AddressDate

State Phone Number

CORPORATION - In what state incorporated

INDIVIDUAL - Under what firm name is business conducted

PARTNERSHIP - Give names of all partners

Type of Business:

What use will be made of site:

List any buildings or structures currently on site:

List any buildings or structures to be erected on site:

What are approximate dimensions of proposed buildings or structures:

Indicate type of construction:

Frame Brick Concrete
Steel Other (explain)

NOTE: Applicant should understand that any structure including grain spouts, platforms, eaves, gutters, downspouts or other appurtenances shall normally have a lateral clearance of 8.5 feet from the centerline of tracks and vertical clearance of 23 feet above the top of rail and in no event will statutory clearances be infringed upon except through special handling.

Complete and return to:
SD Dept. of Transportation_______________________________________________ ____________
Office of Air, Rail & TransitApplicant Signature Date
700 E. Broadway Ave.
Pierre, SD 57501
Telephone (605) 773-3046

** Include a map of the property with dimensions **