Jacobus, PA · York County

No notary required

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. 1

    Download The Application

    Download the Street Opening Permit Application Form.

  2. 2

    Complete The Application

    Enter applicant and contractor details, work location and purpose, opening information, and the planned start and completion dates.

  3. 3

    Gather Required Items

    Include the $550 application fee, surety bond or cash deposit, and certificate of public liability insurance.

  4. 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.

Need something notarized?

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