EmailMe Form - Jermyn Borough Yard Sale Permit Application

Name *
First Last
Date of Application
MM / DD / YYYY
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Phone *
### - ### - ####
Email *
Name of Property Owner (if different from above)
First Last
Start Date of Yard Sale
MM / DD / YYYY
End Date of Yard Sale
MM / DD / YYYY
# of Previous Yard Sales Held Within Calendar Year
I Hereby Agree to Comply With All State and Local Laws Pertaining to Yard Sales. *
I Agree