Unattended Donation Bins Permit Application

Click here to download a copy of the permit application. This is a required document that must be filled out and attached to the "Completed Application" section below before submitting.

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Company/Organization *

Location *

Contact Name *

Phone Number *

Email Address *

Attachments

Completed Application *

(May be submitted electronically, mailed or emailed.)
Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png txt pdf doc ppt xls.

Proof of Insurance *

(City must be named as additional insured.)
Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt xls.

Evidence of Non-Profit or Active Business Tax Certificate *

(501(C)(3) Documents – Non-Profit or Business Tax Certificate – For Profit.)
Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt xls.

Photos of Property and Adjacent Properties

(Photos must include all sides of property.)

Add a new file *

Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt xls.

Site Plan *

(Diagram of the entire site.)
Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt xls.

Diagram of UDB *

(Photo of UDB, diagram of dimensions of UDB, description of locking mechanism.)
Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt xls.

Maintenance Plan *

(Schedule of pickups.)
Files must be less than 25 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt xls.

Unattended Donation Bins Permit Application

Contact Information