Borough of Lindenwold
15 N. White Horse Pike
Lindenwold, New Jersey 08021
(856) 783-2121
DUMPSTER APPLICATION
“FOR STREET PLACEMENT ONLY”
BOROUGH USE ONLY
FEE: $25.00
Date Pd. _____________ Permit for 10 days
Cash or Check _____________
Receipt # _____________
Pl # _____________
Date: ______________________________
Owner: _____________________________________________Phone:___________________________
Address:_____________________________________________________________________________
Location of property: ___________________________________________________________________
Interest of party other than owner: ________________________________________________________
Address: _________________________________________________Phone:_____________________
Size of dumpster: _____________________________________________________________________
Reason requesting dumpster to be placed in street: __________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Date of dumpster delivery: ______________________Date of pick up: __________________________
Applicants Signature Borough Approval / Denial
__________________________________ _________________________________
Please show on the attached form where the dumpster will be placed on the street
Street Address
Show placement of dumpster. If corner property, also show that street name.