2. PARKING MUST BE AT LEAST 2 FEET FROM THE WHITE LINE: WELL OFF THE ROADWAY.
3. CHILDREN ARE NOT ALLOWED IN SPRING AREA.
4. A $10.00 PROCESSING FEE, PLUS $10 FOR AN ELECTRONIC KEY TO UNLOCK GATE MUST ACCOMPANY THIS APPLICATION. IN HARDSHIP CASES THE $10 PROCESSING FEE MAY BE WAIVED. THE PROCESSING AND ELECTRONIC KEY FEES ARE NON-REFUNDABLE.
5. QUARTERLY DONATIONS OF AT LEAST $10 PER HOUSEHOLD ARE REQUESTED TO HELP DEFRAY THE COST OF LIABILITY INSURANCE, RECORD KEEPING TO SATISFY INSURANCE DEMANDS, ELECTRICITY FOR NIGHT LIGHTING, STATE REQUIRED QUARTERLY WATER TESTING, MAINTENANCE, ETC.
6. AUTHORIZATION TO USE SPRING MAY BE REVOKED, IF RULES ARE NOT FOLLOWED.
PRINT NAME (S): ______________________________________
ADDRESS: ______________________________________________
AUTO LICENSE PLATE #: _______________________
PHONE #: __________________________
EMPLOYER: ________________________________ DATE: ______
ANYONE FROM THE SAME HOUSEHOLD WHO USES THE SPRING MUST SIGN THIS APPLICATION. EACH WILL HAVE THEIR OWN I.D. CARD. ONLY ONE ELECTRONIC KEY WILL BE ISSUED PER HOUSEHOLD. BY SIGNING THIS APPLICATION YOU ACCEPT ALL RESPONSIBILITY BOTH LEGAL OR OTHERWISE IN CONNECTION WITH YOUR USE OF THE SPRING. PUBLIC USE OF THIS SPRING IS SUBJECT TO OWNER'S ABILITY TO MAINTAIN LIABILITY INSURANCE.
SEND THIS APPLICATION WITH A $2O.00 CHECK, ALONG WITH A STAMPED, SELF ADDRESSED ENVELOPE TO: JOHN PASCHAL, 35 THOMASTOWN ROAD, MINE HILL, N.J. 07803. PHONE # (973) 361-1039.
CERTIFICATION: I AM AT LEAST 18 YEARS OLD. I UNDERSTAND AND PROMISE TO COMPLY WITH ALL THE RULES AS SET FORTH HEREIN FOR MY USE OF THIS SPRING.
SIGN YOUR NAME (S)
_______________________ ________________________ __________________________