KANSAS DEPARTMENT OF TRANSPORTATION

Bureau of Construction and Maintenance

ACCESS APPLICATION

INFORMATION SHEET

I	INFORMATION BY APPLICANT	Date	,

PETITIONER DATA:

Name	Phone No.

Owner

Address

Street	City	State	Zip Code

BUSINESS DATA:

Name	Phone No.

Owner

Address

Street	City	State	Zip Code

Use

Fast Food, Restaurant, Service Station, Office, Shopping Center, Apartments, etc.

DRIVEWAY DATA:	Traffic Volumes (each driveway; 2-way, 24-hour traffic)

Surface Type	All vehicles:	veh/day;	veh/peak hr.

Surface Width	Ft.	No. Single Unit Trucks/Day:	.

Surface Thickness	In.	No. Semi-Tractor Trailer/Day:	(3-axle)	(4-axle)

Property Frontage	Ft.	(5-axle)	(6-axle)

INFORMATION BY KDOT

HIGHWAY DATA:

Surface Type	TYPE AREA: ( Urban ( Suburban	( Rural

Surface Width	Ft.	PROPOSED DRIVEWAY:

Shoulder Width	Ft.	Side of Highway:	(N, S, E, W)

R/W to Centerline Distance	Ft.	Mound: ( Culvert: (

Curb & Gutter: ( Open Ditch: (	Type

Speed Limit	MPH	Diameter	In.

Average Daily Traffic	(2-Way)	Length	Ft.

Parking along Highway: Yes ( No (	Type of Parking: Angle ( Parallel (	Cover	In.

SIGHT DISTANCE:

Direction	(N, S, E, W)	Vertical	Ft. Horizontal	Ft.

Direction	(N, S, E, W)	Vertical	Ft. Horizontal	Ft.

ADJACENT ACCESS:

Distance CL to CL	Ft.;	Direction	(N, S, E, W)	Access Type

Distance CL to CL	Ft.;	Direction	(N, S, E, W)	Access Type

DRIVEWAY LOCATION:

Reference to Section Corner, Permanent Object, Project Plan Station, etc.

KDOT IMPROVEMENT: Is a Highway Construction Project Programmed? Yes ( No (

COMMENTS:

Area Engr., Area Supt., Utility Coordinator

D.O.T. Form No. 334

Const/Maint

District

Area

FOR KDOT USE

Permit No.

Route

City

County

KDOT Form 334 Access Application

J. William Lay

1999-07-20

Joe Archer

kdot