BENSALEM TOWNSHIP
APPLICATION
Building and Planning Department
Office 215-633-3644 Fax 215-633-3753
2400 Byberry Road Bensalem, PA 19020
JUNK YARD LICENSE
Date
License #
Tax Parcel #
APPLICANT NAME:
APPLICANT ADDRESS:
PROPERTY OWNER:
OWNER’S ADDRESS:
CITY: STATE:
ZIP:
PHONE No.
EMAIL
LOCATION OF JUNK YARD:
TAX PARCEL NUMBER:
JUNK YARD START DATE:
SIZE OF PROPERTY AT START DATE:
SIZE OF PROPERTY NOW:
TYPE OF JUNK OR SCRAP STORED ON THE PROPERTY OR BUILDING:
IS THE PROPERTY COMPLETELY SURROUNDED BY A FENCE?
YES NO
HEIGHT OF FENCE: SETBACK OF FENCE:
WHAT IS THE MATERIAL OF FENCE?
IS THE JUNK STORED IN A BUILDING OR VACANT LOT?
A SITE PLAN OF THE JUNK YARD MUST BE SUBMITTED WITH APPLICATION
Applicant’s Signature
Date
Property Owner Signature Date
E-MAIL ADDRESS FOR CONTACT PERSON:
Rev 6/2016