LICENSE APPLICATION FOR
CLOTHING COLLECTION DONATION BIN
Page 1 of 2
License #:
Fee: $
100.00
APPLICATION AND PLAN CAN BE SUBMITTED ON DISC OR VIA EMAIL TO
permitcenter@bensalempa.gov
GENERAL
INFORMATION
LICENSES FOR COLLECTION BINS WILL ONLY BE GRANTED TO A NON-PROFIT,
CHARITABLE ORGANIZATION. WRITTEN VERIFICATION OF THE EXISTENCE OF THE
NON-PROFIT, CHARITABLE ORGANIZATION MUST BE PROVIDED WITH APPLICATION
SUBMISSION OF A DETAILED PLOT PLAN WITH MEASUREMENTS REQUIRED
DEPICTING LOCATION OF PROPOSED CLOTHING COLLECTION DONATION BIN
Pro
ert
Owner Information
NAME:
ADDRESS:
PHONE No.:
Applicant Information
NAME:
ADDRESS:
PHONE No.:
PROPOSED
LOCATION
Proposed Location of Clothing Bin
STREET No. and NAME
TAX PARCEL No.
ADDITIONAL
INFORMATION
All requested information is required to be filed at the time of application.
Incomplete applications will not be processed.
The owner of the property and the license applicant shall be responsible for maintaining
the collection bin in a safe, clean, uncluttered and sanitary manner.
The owner of the property and the license applicant shall replace the bin or remove its
contents with reasonable frequency so as to prevent the overflow of items.
The name, address and telephone number of the property owner and license applicant
shall be clearly posted on the collection bin for identification purposes.
License cost $100.00 per bin & shall be renewed and billed annually in the form of a
license.
PLAN
REQUIREMENT
Placement of collection bin cannot violate any other code section of Township Ordinances.
Detailed plot plan or drawing with measurements must accompany this application. Plan must
detail existing conditions on the site including existing signs, buildings, parking areas,
driveways, streets and all ultimate rights-of-way. Plan must also include proposed location of
collection bin on the site.
BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road Bensalem, PA 19020
Office 215-633-3644 Fax 215-633-3753
