Media, PA · Delaware County

No notary required

Street Opening Application

Applicants use this form to request authorization from the Borough of Media to open a street and describe the location, date, and purpose of the work.

What this form is

The Borough of Media uses this application to authorize a street opening and describe the proposed work. Applicants provide their name, address, telephone number, opening location, date, and work description and purpose. The form also asks applicants to indicate whether the request follows emergency work and includes commitments about safety safeguards and pavement restoration.

Who needs it

Anyone seeking to open a street in the Borough of Media should complete this application with details about the proposed work.

How to submit it

Submit the application to the Department of Code Enforcement and Zoning at 301 N Jackson Street, 2nd Floor, Media, PA 19063, with a $50 check payable to the Borough of Media.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Borough of Media Street Opening Application PDF.

  2. 2

    Complete The Form

    Enter your contact information, the street location and opening date, and the work description and purpose.

  3. 3

    Indicate Emergency Follow-Up

    Check the box if the application follows a street opening made for emergency work.

  4. 4

    Submit The Application

    Submit it to the Department of Code Enforcement and Zoning with a $50 check payable to the Borough of Media.

Frequently asked questions

What information does the Street Opening Application request?
The form asks for the applicant’s name, address, and telephone number, plus the street location, opening date, and description and purpose of the work.
Do I need a notary for the Street Opening Application?
No. The application is signed and dated without a notary, and it lists no notarized or sworn attachment.
How do I submit the Street Opening Application?
Submit it to the Department of Code Enforcement and Zoning at 301 N Jackson Street, 2nd Floor, Media, PA 19063. Include a $50 check payable to the Borough of Media.

Need something notarized?

This Street Opening Application doesn’t need a notary — but if you have another Media form that does, a commissioned online notary can help.