Form Center

Step One

Property Address*
Resident
Phone Number
Cell Number
Email Address
Dumpster Contractor
Business Name*
Owner/Contact Person*
Address*
Telephone*
Email Address*
Project Description
Expected Project Start and End Date
Expected Project Start and End Date Start Date
—
Expected Project Start and End Date End Date
Will the residence be occupied during the project?
1. Yes
1. No
Primary Contact for Project
1. Resident
1. Architect
1. Project Manager
1. Contractor*
*MHIC/MD Contractor's License No.
Information for Primary Contact (if different from resident)
Name:
Daytime Phone Number
After-hours phone number
E-mail address
For Village office staff use only:
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Step Two

Dumpster Permit Application: Filing Requirements
Application will not be reviewed until the application is complete
1. This application form, signed by resident
2. Boundary Survey
3. Site Plan showing proposed location for dumpster
4. Filing Fee (due at time of application). Fee schedule is listed in Chapter 6 of the Village Code
5. Damage deposit of performance bond (due when permit is issued). Amount set by Village Manager.
Once this permit application is complete, the Village Manager will review the application and accompanying documents and, under most circumstances, act on the application within 5 to 10 working days.
No signs advertising any service provider may be posted on the work site.
I hereby certify that I have the authority to make the foregoing application, that the application is correct, that I have read and understood all requirements and that the construction will conform to the regulations of the Montgomery County Zoning Code, the Village Code including Urban Forest code, and any covenants and easements on the subject property.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature
Date:
Date:
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Step Three

Filing Fee:
Quantity
Shipping Cost
Taxable
File Upload

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Dumpster Permit Application

Steps

Step One

Step Two

Step Three

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