REV: 09/10/20
NO DUMPSTER OR CONTAINER MAY BE PLACED ON PUBLIC PROPERTY UNLESS IT SHALL HAVE AFFIXED TO IT
REFLECTIVE MATERIAL OR WARNING SIGNALS OR DEVICES ON ALL SIDES WITHIN THE PUBLIC WAY,
DATE:
PROPERTY OWNERS NAME: PHONE:
PROPERTY ADDRESS: ___________________________________________________________
EMAIL: __________________________________________________________________________
DUMPSTER COMPANY NAME: PHONE:
DUMPSTER COMPANY ADDRESS:
LOCATION OF DUMPSTER: STREET DRIVEWAY
DROP OFF DATE:
DUMPSTER USE:
APPLICANT’S SIGNATURE: PHONE:
DUMPSTER PERMIT APPLICATION
VILLAGE OF RIVER GROVE
2621 THATCHER AVE, RIVER GROVE IL 60171
DAVID B. GUERIN, PRESIDENT
PHONE 708-453-8007 FAX 708-453-1337
PERMIT NUMBER ____________________
DATE ISSUED ____/_____/_____________
APPROVED FEE $____________________
DUMPSTER PERMITS ARE VALID FOR 15 DAYS
DUMPSTER MUST BE REMOVED IMMEDIATELY
WHEN FILLED OR WITHIN 15 DAYS
