Hillsdale, MT · Bergen County

No notary required

Obstruction Permit Application

Hillsdale residents or businesses use this application to request permission to place a dumpster or POD that obstructs an area.

What this form is

The application requests an obstruction permit for a dumpster or POD and states that the permit may not exceed ten days. It asks for applicant and contact details, the reason and location of the obstruction, and a signature and date. A drawing is required for dumpster or POD placement, and the form requires an insurance certificate naming the Borough of Hillsdale as additional insured for $2 million.

Who needs it

Anyone requesting permission to place a dumpster or POD that obstructs an area in Hillsdale should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; it asks for no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the Obstruction Permit Application PDF.

  2. 2

    Complete The Application

    Provide applicant and contact details, the reason and location for the obstruction, and sign and date the application.

  3. 3

    Gather Required Attachments

    Include a drawing for dumpster or POD placement and the required insurance certificate.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Obstruction Permit Application?
No. The application asks for the applicant's signature and date, but has no notary block or sworn step.
How do I submit the Obstruction Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.
What attachments does the application require?
The form requires a drawing for dumpster or POD placement and an insurance certificate naming the Borough of Hillsdale as additional insured for $2 million.

Need something notarized?

This Obstruction Permit Application doesn’t need a notary — but if you have another Hillsdale form that does, a commissioned online notary can help.