WHOLESALE JUNK DEALER
APPLICATION FORM


ALL APPLICATIONS ARE DUE IN THE CITY CLERK'S OFFICE AT
LEAST TWO WEEKS BEFORE THE SCHEDULED EVENT

APPLICANT DETAILS

Fee:
Included one Truck ($75.00)  
Additional trucks at $20.00   each
Total Fee: $75
Number of additional trucks:
Applicant Name: *
Applicant Email:
Phone Number
Address of Applicant:
Location of Junkyard:
Subject to the provisions of an ordinance now in force, or which may hereafter be adopted by the City Council(reference 9:6-1  et seq.).
Age:*
Make(Year), Motor No:*
Enter Make(year in yyyy format) and Motor Number seperated by comma.Write in new line for another motor
Example: 1997,1ABC123
Please Enter the verification
code in the box *
Form Legends: More Info Error (Rollover to see the problem) Download PDF for Manual
Paper Application

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