Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by typing or printing your information clearly in the 'Applicant' section. You will need to provide your driver's license or tax ID number, contact name, owner's name, email address, physical address, telephone number, city, state, zip code, emergency telephone number, and fax number.
3. Next, fill out the information pertaining to the agent, if applicable. This includes the agent's driver's license or tax ID number, contact name, agent's name, email address, physical address, telephone number, city, state, zip code, emergency telephone number, and fax number.
4. Indicate the permit term requested and the fees enclosed. Specify the payment method and include the estimated cost of the work to be performed on VDOT right-of-way.
5. Provide surety information, including whether the surety is posted by the owner or agent, details on the refund recipient, amount of surety, obligation amount, check number, surety company name, and bond number.
6. Complete the section where you request permission to perform activities and provide a brief description of the activities along with any attached plans.
7. Fill in the location details, including whether it is in a county, town, or city, route number, street name, latitude, longitude, and tax map number.
8. Specify any additional route or street name information to assist with locating the request.
9. If applicable, agree to pay the expenses of a state-assigned inspector by checking the corresponding box.
10. Sign and date the application as the applicant and agent, ensuring to include your title.
11. Review all entries for accuracy and clarity to avoid delays, then save changes, download, print, or share the completed form.

Ensure your application is complete and submit your LAND USE PERMIT LUP-A application online today.