Jacobus, PA · York County
Street Opening Permit Application Form
Jacobus Borough’s application is for people or businesses seeking permission to open a street for planned work.
What this form is
Use this application to request a Jacobus Borough permit before opening a street for work. It asks for applicant and contractor details, the work location and purpose, opening dimensions and type, and start and completion dates. Applicants must include the stated $550 application fee, submit surety or a cash deposit, and provide a certificate of public liability insurance.
Who needs it
A person, business, contractor, or subcontractor planning street-opening work in Jacobus Borough should complete and submit this application.
How to submit it
Submit the application to Jacobus Borough, 126 N. Cherry Lane, Jacobus, PA 17407-1000, or email [email protected]. Include the $550 application fee, payable by check to Jacobus Borough, and the required surety or cash deposit and insurance certificate.
About notarization
This application is signed and dated without a notary; it does not mention a notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Street Opening Permit Application Form.
- 2
Complete The Application
Enter applicant and contractor details, work location and purpose, opening information, and the planned start and completion dates.
- 3
Gather Required Items
Include the $550 application fee, surety bond or cash deposit, and certificate of public liability insurance.
- 4
Submit To Jacobus Borough
Send the application to the borough address or email listed on the form.
Frequently asked questions
- Do I need a notary for the Street Opening Permit Application?
- No. The application has a signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.
- How do I submit the Street Opening Permit Application?
- Submit it to Jacobus Borough at 126 N. Cherry Lane, Jacobus, PA 17407-1000, or email [email protected]. Include the stated application fee and required supporting items.
- What information does the application ask for?
- It asks for applicant and contractor details, the street-opening location and purpose, approximate surface area, type of cut, and planned work dates.
- What must accompany the application?
- The form states that applicants must include a $550 application fee, submit a surety bond or cash deposit, and provide a certificate of public liability insurance.
