Type Full Name :
Sign With Hand
ZIP
City
# of Lic. Bedrooms *
New Occupant Details
Click here for Tax and Water Information
Garage
Please note that the Agent must be authorized to accept service and/or to comply with lawful orders of the Borough Inspectors or police.
Provide details of all new occupants.
Attorney Phone
Property Owner/Seller Details
Type *
Type *
Signature *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
WARNING: APPLICATION MUST BE SUBMITTED AND LICENSE ISSUED BEFORE ANYONE IS ALLOWED ON THE PREMISES.

By signing below, I the owner certify that all of the information provided in this application is true and accurate. I certify that this dwelling and all other structures on the property meet the zoning requirements of the {[CNAME]} I attest to the fact that no rubbish/debris/bulk garbage will be left on this property prior to new occupancy. I understand that failure to comply will result in retraction of the {[PNAME]} and a summons will be issued. I understand that this applies to all properties that fall within the {[CNAME]}.

Business Type
Attorney Address
{[CNAME]}
Contact Person Details
Address *
If Other
Check here to see if your property has been designated as an Animal House: Designations
Email
Address *
Name
Lot
State
Email *
Block
(Date is a Request. Actual Inspection Date to be Confirmed)
Begin typing address and select from the populated dropdown *
Attorney Address
Deck
Attorney Name
Attorney Email
Fence
Address
Name
Email
Application Details
Owner Occupied?
Phone *
Company
Email *
Closing Date (If Applicable)
# of Units *
Attorney Phone
Attorney Email
Phone #
Attorney City, State, Zip
Name *
Attorney City, State, Zip
Property Details
Who should we contact for inspections?
Certification
Requested Inspection Date
Shed
City, State, ZIP *
Name *
Address *
Is this property an animal house?
{[PNAME]}
Amount Due
Agent Details
* Taxes and water/sewer accounts must be paid in full.
Address 2
Studio
Finished Basement
Pool
Buyer Details
City, State, ZIP *
Specify if any of the following accessory structures exist at this address
Phone # *
Phone #
* If your property is an Animal House, please check with the Code Enforcement Office regarding your bond. An Animal House bond stays with the property for four years. At your closing, the buyer should reimburse you for the bond you posted. The Borough will not refund the bond before the four-year expiration.
Attorney Name