TOWNSHIP OF ABERDEEN
AUTHORIZATION FOR MUNICIPAL FEE EXEMPTION (VOLUNTEER FIRE AND EMS MEMBERS)
PURSUANT TO ORDINANCE NO. 18-1997
PRINT THIS APPLICATION AND MAIL TO THE TOWNSHIP CLERK'S OFFICE AT
1 ABERDEEN SQUARE, ABERDEEN, NJ 07747
1. Name of Organization:
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_____________________________________________
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2. Applicant's Name:
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_____________________________________________
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3. Applicant's Address:
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_____________________________________________
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4. Member's Name:
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_____________________________________________
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| 5. Member's Address: |
___________________ |
Phone: |
_____________________ |
6. Please specify the type of activity for which this application is made (i.e., construction permit on member's home, Summer Adventures Program for member's child, etc.)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
I hereby certify that the activity for which this fee exemption is requested is for the personal and non-profit use of the member or his/her immediate family.
| Date: _______________ |
_____________________________ |
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Signature of Applicant |
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FOR OFFICE USE ONLY
| Dept: |
___________ |
Exempt Fee |
____________ |
Dept. Head: |
______________ |
| Clerk's Verification: |
__________ |
200_ fees exempted to date: |
_____________ |
| Approval is granted for a fee exemption in the amount of $ |
__________________ |
| Date: |
_______________ |
Township Manager: |
_________________________ |
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