Fillable Trespass Waiver Trespass Waiver (Delaware Township)

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Trespass Waiver Trespass Waiver (Delaware Township)

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DELAWARE
TOWNSHIP
I _________________________________________________ am the legal owner of property identified as
Section ________________Block __________________ Lot ________________Subdivision ____________
and I grant permission for agents and employees of Delaware Township to enter my property for
sewage testing and permitting purposes.
Signed: __________________________________________________________________________________
Dated ____________________________________
BOARD OF SUPERVISORS • 116 W ilson Hill Road • Dingmans Ferry. PA 18328
Phone: 570.828-2347 • Fax: 570-828-8705 • Email:dtbos@ptd.net
BOARD OF SUPERVISORS
TRESPASS WAIVER
07092012
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Trespass Waiver Trespass Waiver (Delaware Township)

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Completed 19 July 2020

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