Borough of Lindenwold
15 N. White Horse Pike
Lindenwold, NJ 08021
856/783-2121
New Business/Transfer of Ownership Application
Initial Application Fee $125.00 If second inspection is needed, there is no fee
Third inspection and thereafter fee is $75.00
Business Name______________________________________________________
Business Address____________________________________________________
Business Phone #____________________________________________________
Name______________________________________________________________
Home Address______________________________________________________
______________________________________________________
Phone #____________________________________________________________
Applicant’s Signature_______________________________ Date_____________
BOROUGH USE ONLY
Date of Inspection__________________
Date Paid ______Cash____ Check#__________ MO_____ Receipt #_________
Passed ______ Failed______Inspectors Initials___________
2
nd
Inspection Date__________ Passed_____Failed____ Inspectors Initials_____
3
rd
Inspection Date___________Passed_____Failed_____Inspectors Initials_____
Date Paid______Cash_____ Check#________ MO______ Receipt #___________