2. 

4. Portable Storage Unit Permit Application

6. Section A. Applicant Information

8. Applicant’s relationship to the property where the storage unit will be located (select one):*

   1. Owner
   2. Tenant
   3. Other
10. If other, please specify:
12. Applicant Name*
13. Date*
15. Business Name (if applicable)
16. BTR #
18. Address*
20. City*
21. State*
22. Zip Code*
24. Phone *
25. Email*

27. Section B. Rental Company Information

29. Portable Storage Unit Company Name*
31. Company Address*
33. City*
34. State*
35. Zip Code*
37. Phone*
38. Email*

40. Section C. Portable Storage Unit Information

42. Unit Length*
43. Unit Width*
44. Unit Height*
46. Address Where Unit will be Placed*
48. Specific Proposed Location of Unit*
50. Scheduled Delivery Date*
51. Scheduled Removal Date*
53. Do you have an active Town Building Permit for a project on this property, which necessitates use of the Unit? *
55. If Yes, Permit Number:

57. Section D. Applicant Affidavit and Signature

59. I have received a copy of Town Code Section 6-8.1 and agree to abide by the requirements therein. *

    Type name in full.

61. Application fee due at time of application: $30 Residential, $50 Commericial

    (Building sites with a permitted construction fence do not require a unit permit).

    Application fees can be made out to the Town of Lauderdale By The Sea and delivered to Town Hall.

Leave This Blank:


63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit

* indicates a required field