Town of Hancock

Town of Hancock

661 West Main Street

Hancock, New York 13783

607 637-3651

607 637-4617 (fax)

APPLICATION FOR TRANSFER STATION PERMIT

NAME ____________________________________________________

PROPERTY ADDRESS _________________________________________

TELEPHONE # _______________________________________________

YOU MUST HAVE A PERMIT FOR EACH VEHICLE AND THEY MUST BE DISPLAYED IN THE BOTTOM RIGHT HAND CORNER OF THE VEHILCLE’S WINDSHIELD

LICENSE PLATE NUMBER OF VEHICLE (S)_______________________

________________________

PERMITS ARE AVAILABLE AT THE TOWN CLERK’S OFFICE – MONDAY – FRIDAY 8:30 AM – 12:30 PM 1:30 PM – 4:30PM

OR BY MAIL – JUST FILL OUT THIS FORM AND ENCLOSE $10.00 FOR EACH PERMIT – EITHER CHECK OR MONEY ORDER – AND MAIL TO THE TOWN CLERK

661 WEST MAIN STREET

HANCOCK, NY 13783

PLEASE REMEMBER TO INCLUDE THE ADDRESS WHERE YOU WANT THE PERMIT MAILED TO