F: 570-839-0981
1361 Pocono Boulevard, Suite 100
Mount Pocono, PA 18344
1361 Pocono Boulevard, Suite 100
Mount Pocono, PA 18344

Application & Permit Fees

Sanitation Bill Paid (If Applicable)
Date
The purpose of this form and of other materials supplied by the Borough of Mount Pocono is to assist applicants in meeting the requirements of Borough ordinances and regulations

Frequently, requirements of other governmental agencies and authorities must also be met. Applicants are responsible for determining all of the requirements that they must fulfill for obtaining copies of relevant ordinances and regulations of the Borough of Mount Pocono and of all other authorities having jurisdiction and of meeting all of the requirements contained therein.
Name of Appicant(Required)
Address of Applicant(Required)
It is understood that any permit will not grant any right or privilege to erect any structure or to use any premises herein described by the Borough of Mount Pocono zoning ordinance.

Supplement sheets applicable to the permit being applied for must be attached to this cover sheet. It is incomplete without a supplement.
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