Street Opening Permit

Name of person or Business applying for permit *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Location and purpose of the street opening *

Approximate surface area of the opening *

Date the work is to commence *

Date the work is to be completed by *

CONDITIONS OF PERMIT

The initial fee for a North York Borough Street Opening Permit is $700.00, made payable to North York Borough.

As per Borough Ordinance number 2016-1, a surety bond or a cash deposit in an amount to be determined by the Borough Engineer must be paid to the Borough before any street opening may commence.

Please review the North York Borough Street opening Ordinance and the Paving Maintenance and Restoration. Schedule.

I have read the North York Borough Street Opening Ordinance, and agree to the terms and conditions as set forth in the ordinace.

Signature and Date