Temporary Revocable Permit

This application is for the use of a POD/Storage Container or dumpster on the street.

Date * Required
MM slash DD slash YYYY
Name * Required
First Last
Address * Required
Street Address Address Line 2 City State ZIP / Postal Code Country
Phone * Required
Email * Required
Start Date * Required
MM slash DD slash YYYY
End Date * Required
MM slash DD slash YYYY
Description * Required
The applicant acknowledges that approval of the requested use is subject to the above or attached conditions, required permits, agreements and chapter 909 of the city ordinances.
Consent * Required
I agree to have reflective cones around the storage container and/or dumpster
Consent * Required
I agree to not block access to adjoining properties.
Consent * Required
I agree to not block visibility for neighboring properties’ exiting driveway.
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