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Mechanical Device License

  1. Application for Mechanical Device License

  2. Owner of Devices

  3. Location of Devices

  4. List below the type of machine, manufacturer or serial number of machine. The fee paid and dated will be completed by the Borough.

  5. Note

    All information must be completed and the applicant must sign below. The Borough has the right to reject any application for licensing.

  6. I hereby do certify that the information provided above is correct to the best of my knowledge.

  7. Leave This Blank:

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