Sec. 6-126 Form for Right to Dispose Refuse at Town Dumpster.

Application to Dispose Refuse at the Town Dumpster

Name:

Address:

Telephone:

Material to be disposed:

Amount of material to be disposed:

Size of material to be disposed:

I certify that no hazardous wastes as defined in Indiana Code 13-7-1-12 and no commercial refuse is to be disposed of in the Town Dumpster for purposes of this permit and the foregoing information is true and accurate.

Signature

Date:

(Ord. No. 1097, 2-8-89)