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    Bulkhead/Parkland Work Application

    BULKHEADS/PARKLAND WORK APPLICATION FORM (please print this page)

    This form must be completed and all work must have UGLPOA Parklands Committee approval prior to the start of any project or repair. Call the UGLPOA office at 973-853-4262 to obtain an appointment for a site review. Pictures of the area to be worked on must accompany this form. Some projects/repairs will require a drawn plan in addition to the pictures. The completed approved form must be on file in the UGLPOA Office prior to the start of any project.

    Dated: ________________

    Name:____________________ Block/lot:__________

    Address: _____________________________

    Phone no.:___________________

    Location of Work Area: ___________________________

    __________________________________________________

    Is the Location on: ______ Private Property _______ Parklands


    Type of Work Requested:

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    __________________________________________________

    To be filled out by Parklands Committee:

    Approved:__________________ Denied:___________

    Comments:_________________________________________

    __________________________________________________



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