FENCE, SHED, AND DRIVEWAY, SIDEWALK PERMIT APPLICATION

FENCE, SHED, AND DRIVEWAY, SIDEWALK PERMIT APPLICATION
DATE OF APPLICATION

MonthDayYear
BLOCK
LOT
PROPERTY OWNER
ADDRESS
PHONE NUMBER
WORK SITE LOCATION
FENCESHEDDRIVEWAYSIDEWALK
TYPE
HEIGHT
LINEAR FEET
*COPY OF SURVEY REQUIRED FEE: $50.00
CONTRACTOR
(9-24-20 by Ord No. 2018-6)
LENGTH
WIDTH
HEIGHT
*COPY OF SURVEY REQUIRED FEE: $50.00
CONTRACTOR
(7-25-2016 by Ord No. 2016-8; 12-17-2018 by Ord. No.2018-10)
Repave
New
*COPY OF SURVEY REQUIRED FEE: $25.00
CONTRACTOR
(12-17-2018 by Ord. No.2018-10)
LENGTH & WIDTH OF OPENING:
*COPY OF SURVEY REQUIRED FEE: $75.00
CONTRACTOR
(12-17-2018 by Ord. No.2018-10)
YesNo
IF YES MUST SUBMIT A COPY OF THE APPLICATION AND PLANS TO THE SUPERVISOR OF ROADS, COUNTY OF PASSAIC

Cancelof
SIGNATURE

Clear
DATE

MonthDayYear
Date
OFFICE USE ONLY
FEE
CHECK
MO
CASH
CONSTRUCTION OFFICIAL:
Should be Empty:

OFFICE USE ONLY