If you desire assistance or have questions about this form, you can email us at firstname.lastname@example.org, call us at (517) 483-4133, or visit us in the City Clerk's office, located on the 9th floor of City Hall (124 W Michigan Avenue, Lansing, MI 48933).
This application must be filed with the City Clerk not less than 30 days prior to the date that the collection bin is placed on real property. Complete and submit this form. Bring all materials listed below to the City Clerk's office to complete the application process. There is a non-refundable application fee of $125; a renewal fee of $100; and a sticker replacement fee of $25.
In order for the application to be processed, the following items must be included: 1) completed, signed, and notarized Affidavit and Acknowledgement of Property Owner; 2) completed Lansing Treasury Information Request Form; 3) non-refundable fee; 4) copy of the License and Registration from the State of Michigan under the Michigan Consumer Protection Act and the Charitable Organizations Solicitations Act if statutorily required; 5) a photograph of the collection bin to be installed; 6) a site plan indicating the placement of the collection bin, in compliance with the requirements of Section 1302.07.
TO BE LISTED ON PERMIT FOR PUBLIC USE
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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