2023 WASTE FACILITY PERMIT
NAME ____________________________________________________________
ADDRESS ____________________________________________________________
CITY/STATE/ZIP ____________________________________________________________
PHONE NUMBER ____________________________________________________________
EACH PERMIT IS $70.00 PER YEAR IF PURCHASED BY JANUARY 31, 2023
PERMITS ISSUED AFTER JANUARY 31, 2023- $80.00
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FOR TOWNSHIP RECORDING:
DATE _________
WASTE PERMIT NUMBER _________
PAID BY ________________________________________________
CASH $ __________ CHECK # _____________ AMOUNT $_________
OTHER PERMIT # ON SAME CHECK ______________ ______________
PLEASE MAKE CHECKS PAYABLE TO NORTH HANOVER TOWNSHIP AND EITHER HAND DELIVER OR MAIL TO THE ABOVE ADDRESS ATTN: WASTE FACILITY PERMIT.