Fill Out Yard Waste Permit

Instructions

Please fill out this form with the required information. Your application will be processed within 3 business days by the City Office. Notice: Your permit is not valid until you have received the placard in the mail. For questions or if you need this form in an alternative format, please call the City Office at 218-302-5996 or email office@cityofvergas.com.

Applicant Information

Name

Address

Local Township

City, State Zip Code

Secondary Address

If your address above is a cabin or lake place, please provide your permanent address.

Phone Number

Email Address

This is only used for emailing you a receipt.

Permit Information

Vehicle License Plate

Total Credit Card Charges

This is the total amount that will be charged to your credit or debit card:

$65.00 Yard Waste Permit Fee
$2.00 Processing and mailing fee
$2.31 Payment Processing fee (this fee is not collected by City of Vergas)

Credit Card

Acknowledgement

I understand that I can only use the City of Vergas Yard Waste Site once I have received the physical placard and any use before then is not allowed.

Acknowledgement

By submitting this form you certify that all the information is true and correct to the best of your knowledge, and agree to comply with any and all posted signs and regulations for the use of the yard waste site. Your permit may be revoked, without refund, for failure to comply with policies, regulations, and ordinances.