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I, the undersigned, hereby respectfully make application for an annual permit to conduct a Junk Dealer and Junkyard.
I have carefully read and understand the provisions of Chapter 337, Junk Dealer and Junkyards of the Township Code and if granted a permit will strictly adhere to all requirements.
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{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
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{[PNAME]} Application
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