Landscapers Permit Application

Application for: Gardener's License-Chapter 165

Fee: $125 per truck

OFFICE USE ONLY: Date Issued: License#
Compensation/Liability: Expiration:

Note: All Information contained herein will be investigated and verified any false statement will be cause for refusal and revocation of this license. It is further understood that applicant will conform and adhere to all laws applicable and such rules and regulations as may be promulgated by the Incorporated Village of East Rockaway regulating and relating to the use to which this license is applicable.

Name of Applicant: Phone #

Address:

Driver's License#

Personal Data:
Date of Birth: Place of Birth: Citizen: Yes or No

Length of Time in Business: Have you ever been arrested or convicted if a crime? Yes or No If yes, please give particulars:

Name of Business:

Street Address:

City: State: Zip Code:

Describe Below Each Vehicle for Which Application is made:

State of New York :}
SS
County of Nassau :}

being duly sworn deposes and says that the individual making the foregoing application; that answers to the following questions and all other statements contained herein are true.

Sworn to before me this day of
, 20

Applicant

Notary Public

J:CLERKS OFFICE\Misc. Licenses\Landscapers

REGULATIONS FOR LANDSCAPERS

We require a copy of the driver's license, vehicle registration(s) and proof of compensation/liability insurance, proof of workers compensation or the exemption form and a copy of Nassau County Consumer affairs license.

1. The workers compensation exemption form can be obtained via the internet at: www.WCB.STATE.NY.US
2. All power or manually operated equipment may NOT be used earlier than 8:00 A.M. or later than 6:00 P.M. on weekdays: No Earlier than 9:00 A.M. or later than 5 P.M. on Saturdays, NOT PERMISSABLE on Sundays, or legal holidays: New Year's Day, Martin Luther King Day, Lincolns Birthday, Presidents Day, Memorial Day, Fourth of July, Labor Day, Columbus Day, Election Day, Veterans Day, Thanksgiving Day, and the day after Thanksgiving, Christmas Day.
3. All garbage, refuse, cuttings, leaves, wood or any other materials may NOT be left on any public highway, public place or private property- said materials MUST BE REMOVED BY THE GARDENER.
4. Stickers must be permanently displayed on the LEFT SIDE of the vehicle and license must be available upon request.
5. License expires each year on the last day of March.
6. Fee is $125 per truck. Lost or damaged stickers shall be replaced for a fee of $25.

• PLEASE NOTE THAT YOU ARE REQUESTED TO PERFORM YOUR SERVICES DURING THE WEEK IF POSSIBLE AND NOT TO WORK ON WEEKENDS OR HOLIDAYS EXCEPT IN EMERGENCIES.
• YOU ARE REQUESTED TO ADJUST POWER EQUIPTMENT TO THE LOWEST PROPER SOUND LEVEL.
• EQUIPTMENT NOT IMMEDIATLEY IN USE MUST REMAIN ON THE TRUCK.
• SIDEWALKS AND ROADS MUST BE KEPT FREE OF HAZARDS.
• VEHICLES MUST BE PARKED AT PLACE OF EMPLOYMENT ONLY AND IN THE CORRECT DIRECTION.

J:CLERKS OFFICE\Misc. Licenses\Landscapers