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Fertilizer Permit

  1. Commercial Applicator

    Fertilizer Permit

  2. The applicant, a commercial fertilizer applicator licensed by the State of New Jersey, hereby registers for obtaining a permit for spraying within the Borough of Medford Lakes.

  3. This is a list of fertilizers intended to be used during the season, together with their environmental protection agency registration numbers:

  4. I the undersigned applicant am familiar with all pertinent Medford Lakes Borough Ordinances, Code and Regulations and agrees to fully comply with the same.

  5. 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.

  6. Fee

  7. Application of phosphorus fertilizer is prohibited.

    This permit shall expire December 31st of the year issued.

  8. Leave This Blank:

  9. This field is not part of the form submission.