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♦ NOTE ♦ The dumpster is to be placed on private property only.It may not be placed on any street, parkway, apron or sidewalk.
Preferred method of sending you the permit.
A two week period is the maximum permit time.
Please check all applicable boxes.
AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
I hereby declare that all of the above information given is true to the best of my knowledge and belief.I agree to comply with all City and State Codes, ordinances and laws now in force and any others that may be enacted during the duration of requested permit.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document.
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