Application for Grading Permit - Canton Township

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22 Φεβ 2014 (πριν από 3 χρόνια και 6 μήνες)

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PERMIT #

__________


TOWNSHIP OF CANTON TOWNSHIP

WASHINGTON COUNTY


APPLICATION FOR GRADING

PERMIT




NAME ADDRESS PHONE NO.


Hereby makes application to the Township of Canton for a Grading Permit for property located
at (Lot,Block,Tract,House and Street Addre
ss):


______________________________________________________________________________


______________________________________________________________________________


Property owned by: _____________________________________________________________


For the
purpose of (identification and description of the work):


______________________________________________________________________________


______________________________________________________________________________


Retaining Wall: Yes ______________

No _______________


NOTE: Plot plan showing location and scope of work must be attached to application. Erosion
and Sedimentation Control Plan Approval must be obtained from DEP and must accompany this
application
.



______






Signed
____________________________________

Date








Applicant


Estimated Cost_____________



Permit Granted ______________

Permit Denied

_____________



Fee_______________


_____________________________

John Sheppard

Chairman of the Board of Supervisors


50


1,000 CY $50.00


1,001
-
5,000

CY $250.00

5,000
-
10,000

CY $500.00

10,001
-
20,000

CY $750.00

20,001
-
4
0,000

CY
$
1,000 and $5.00 per 100CY over 40,000CY


NOTE: Permit is valid for eighteen (18) months from date of issuance