Junk Yard License Application Form - East Manchester Township

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East Manchester Township
JUNK YARD LICENSE APPLICATION
Name of Applicant_______________________________________________________
Applicant address _______________________________________________________
_______________________________________________________
Length of time at that address _____________________________________________
Describe any convictions or DEP notifications involving the illegal or improper operation
of junkyard or maintenance of junk. _________________________________________
______________________________________________________________________
______________________________________________________________________
If applicant is a partnership, association, or corporation, the above information for every member, officer
or director must be furnished. (attach to this application) Signatures from all members of the partnership
or association are required. If a corporation, the President's and Secretary's signatures are needed.
Business Name (if any) ___________________________________________________
Business address (if different) _____________________________________________
_____________________________________________
Name(s) of property owner(s) ______________________________________________
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If this is a new application, please attach a description of the premises where the
junkyard will be operated, which includes a drawing indicating:
- total acreage of lot and lot dimensions
- total acreage of land devoted to the storage of junk, including:
dimensions of area devoted to storage
setback distances to all property lines from the storage area
- distance between rows of cars and dimensions of said rows
- all existing buildings with their dimensions and setbacks
- buildings and their use on adjacent lots and distance from those buildings to
storage area
- recording information for deed (book and page)
New Applicant's signature(s)_______________________________________________
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For Renewal:
I hereby certify that during the preceding term of my license I have complied with and
have maintained my premises in full compliance with the provisions of the East
Manchester Township Junk Dealers and Junkyards Ordinance. (chapter 64)
__________________________________________________
Signature(s)
Subscribed and sworn to this ___day of _________, 20
___________________________________________
Notary Public
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FEE $250.00
Date Paid __________ by ______cash ______check
False information or misrepresentation may result in revocation of license, without refund.

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