BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road • Bensalem, PA 19020
Office 215-633-3644 • Fax 215-633-3753
FENCE PERMIT APPLICATION
SITE INFORMATION
LOCATION:
(Address where fence is to be installed)
TAX PARCEL No.: ZONING DISTRICT:
HEIGHT of FENCE: ESTIMATED COST:
$
FOOTING REQUIRED YES NO FENCE MATERIAL:
Wood
Notes:
Vinyl/PVC
Metal/Chain Link
Other
IMPORTANT: Prior to issuance of permit, a PENNSYLVANIA LICENSED SURVEYOR shall be required to
provide permanent markers at the corners of the subject property and is to be shown on the PLOT PLAN
submitted with this application. Said surveyor shall provide certifications of any restrictions, easements or other
covenants of record regarding the subject property. Applications submitted without meeting this requirement will
be rejected.
Signature Owner Contractor Date
)ROORZWKHRQVFUHHQSURPSWVIRUFUHDWLQJDGLJLWDOVLJQDWXUH
OFFICE USE ONLY
APPROVED
YES NO
Zoning Officer
Date
APPROVED YES NO
Building Inspector
Date
Notes:
Tax Parcel No.
Date
Permit No.
PROPERTY OWNER CONTRACTOR / APPLICANT
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
PHONE:
LICENSE #:
FAX:
FAX #:
Rev. 7/2008
A SIGNED COPY OF THIS APPLICATION MUST BE SUBMITTED
AT TIME OF OR PRIOR TO ISSUANCE OF PERMIT.
