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4. First Name*
5. Last Name*
7. Address*
9. City, State, Zip*
   -- Select One --Pittsburgh, PA 15237Sewickley, PA 15143Wexford, PA 15090
11. Phone Number*
12. Alternate Number
14. Email Address*
16. License plate number(s) of the vehicle(s) you will be using to haul yard waste to the drop off site:
18. License Plate #1*
19. License Plate #2
21. Trailer Plate #1
22. Trailer Plate #2
24. Note: If it is not a plate registered in Pennsylvania, please indicate State.

26. The permit will be for yard waste, such as leaves and weeds, and brush/tree trimmings from the above address only. The Yard Waste and Leaf Bag Drop Off sites are in Blueberry Hill Park and are open March 1st to December 1st of each year. These sites are for residential disposal only, commercial use is prohibited.  An application must be completed annually to receive a permit for the current year. The permit will be for the address listed on the permit only and will be for both yard waste sites.

28. The Yard Waste Drop Off site is to only be used for items such as tree or brush trimmings, and weeds/greens. Disposal of entire trees is prohibited. The same restrictions apply to both curbside brush chipping and the drop off site; only trimmings that are up to 4” in diameter can be accepted. The borough asks that you please utilize the April and November curbside brush chipping whenever possible (see our website, digital newsletter, and the spring or fall newsletter for dates).

    The Leaf Bag Drop Off site is for leaf bags only. All leaves must be placed in brown biodegradable bags.  No exceptions.  The borough asks that you please utilize the April and November curbside leaf collection whenever possible (see our website, digital newsletter, and the spring or fall newsletter for dates). 

30. **IMPORTANT** The following materials are not permitted to be placed at the Yard Waste or Leaf Bag Drop Off Sites: grass clippings, loose leaves or leaves in plastic bags, tree or brush trimmings larger than 4” in diameter, garbage, stumps, logs, asphalt, concrete, dirt, mulch, clay, stone, construction materials or anything that won’t degrade. Under no circumstances should anything be left in plastic bags. Placing yard waste in any dumpster or other areas of the park is strictly prohibited.  

    These sites are under video surveillance and are subject to permit checks by Borough personnel.

32. Please call me at 412-364-4115 Ext. 301 or email cmannerino@franklinparkborough.us with any questions.

34. I, the above identified, understand and agree to the requirements stated above. *

    1. Agree
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36. 1. Receive an email copy of this form.
37. Email address

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38. Submit

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