Please read all instructions and then complete the following information and
Print, Date, Sign and Mail with Check and Two Copies of Survey to:
Incorporated Village of Farmingdale
PO Box 220 361 Main Street
Farmingdale, NY 11735
(516) 249-0093
www.FarmingdaleVillage.org
APPLICATION FOR PERMIT TO CONSTRUCT A FENCE
Chapter 105, Article XIX
Village Code
Permit No.:
The undersigned does hereby petition for the issue of a permit for a fence:
Name:
Address:
Location of Fence:
Height:
Type of Fence:
Accompanying this petition is the sum of
$25.00
, payable to Inc. Village of Farmingdale, which is deposited as the fee required by said Code and two copies of survey showing where the fence will be installed.
Date:
_______________
Phone:
Signature of Owner or Petitioner:
_____________________________________________________