Leaf & Grass Permits

Departments

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	<fields>
		<field type="text" subtype="text" required="true" label="Date" class="form-control text-input" name="text-1677628151499"></field>
		<field type="radio-group" required="true" label="Permit for:" class="radio-group" name="radio-group-1677628176188">
			<option value="Leaf" selected="true">Leaf ($5 per c.y. X 10 = fee per truck)</option>
			<option value="Grass">Grass ($300 fee per truck)</option>
		</field>
		<field type="text" subtype="text" label="Business Name" class="form-control text-input" name="text-1677628242693"></field>
		<field type="text" subtype="text" required="true" label="Business Owner's Name" class="form-control text-input" name="text-1677628258388"></field>
		<field type="text" subtype="text" required="true" label="Address" class="form-control text-input" name="text-1677628270084"></field>
		<field type="text" subtype="text" label="Telephone Number" class="form-control text-input" name="text-1677628284454"></field>
		<field type="paragraph" subtype="p" label="Vehicle #1" class="paragraph"></field>
		<field type="text" subtype="text" required="true" label="License Plate #" class="form-control text-input" name="text-1677628334853"></field>
		<field type="text" subtype="text" required="true" label="Make" class="form-control text-input" name="text-1677628362598"></field>
		<field type="text" subtype="text" required="true" label="Model" class="form-control text-input" name="text-1677628370701"></field>
		<field type="text" subtype="text" required="true" label="Capacity" class="form-control text-input" name="text-1677628377942"></field>
		<field type="text" subtype="text" required="true" label="Color" class="form-control text-input" name="text-1677628386820"></field>
		<field type="text" subtype="text" required="true" label="Year" class="form-control text-input" name="text-1677628396709"></field>
		<field type="text" subtype="text" required="true" label="Type" class="form-control text-input" name="text-1677628405870"></field>
		<field type="paragraph" subtype="p" label="Vehicle #2" class="paragraph"></field>
		<field type="text" subtype="text" label="License Plate #" class="form-control text-input" name="text-1677628437110"></field>
		<field type="text" subtype="text" label="Make" class="form-control text-input" name="text-1677628447822"></field>
		<field type="text" subtype="text" label="Model" class="form-control text-input" name="text-1677628456791"></field>
		<field type="text" subtype="text" label="Capacity" class="form-control text-input" name="text-1677628462774"></field>
		<field type="text" subtype="text" label="Color" class="form-control text-input" name="text-1677628470183"></field>
		<field type="text" subtype="text" label="Year" class="form-control text-input" name="text-1677628478855"></field>
		<field type="text" subtype="text" label="Type" class="form-control text-input" name="text-1677628484086"></field>
	</fields>
</form-template>

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Township of Ocean | Official Website - Leaf & Grass Permits

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