2. 

3. CLARK TOWNSHIP  APPLICATION FOR NEWSPAPER VENDING MACHINES AND NEWS RACKS

4. 

8. Applications for the placement of Newspaper Vending Machines and News Racks in the Township of Clark will be considered in light of their compliance to Municipal Code Chapter 357 titled, "Vending Machines."

   Applications for placement on private property must include the contact information of the property owner.

   Questions can be directed to the Clark Police Department at: 732-388-3434.

   
   

12. Newspaper Vending Machine or News Rack Owner

14. Name*
15. Email Address*
17. Address*
19. City*
20. State*
21. Zip Code*
23. Cell Number*
24. Work Phone*
26. Is this same person that should receive notices and service of legal process pursuant to Township article?*
    -- Select One --YesNo
28. Name
29. Email Address
31. Full Address (Street, City, Zip)
33. Phone Number
37. Proposed Location for Machine/Rack (Provide Details)*
38. Upload sketch, map or photographs of area of placement*
40. Dimensions of Machine/Rack (HxWxD)*
41. What will be distributed in Machine/Rack*
42. Upload image of Machine/Rack*
44. Is this public or private property?*
    -- Select One --PublicPrivate
45. If private, please list the name and contact information of property owner.*
47. Upload Notarized letter of Permission from Property Owner***

49. **Original notarized letter with raised seal must be submitted to the Clark Police Department before final approval.

    
    

    Please note:  Approval is contingent on the requestor maintaining the property owners approval.

53. If application is approved, fees will be applicable  as stipulated in Chapter 357 of Clark Township Code.

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field