ࡱ> PROg bjbj 88r\r\  8,\,ddddd& U,W,W,W,W,W,W,$.61{,{,dd4,PPPlddU,PU,PPr*T+dP>i*A,,0,w*1>1+1+,P{,{,B,1 > V: Application for: Gardeners 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: ______________________________________________________________________________ Drivers 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: YearMakeModelNYS License Plate NumberFor Office Use Only 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 _________________________________________ Applicant ________________, 20______ _________________________________________ Notary Public REGULATIONS FOR LANDSCAPERS We require a copy of the drivers 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. The workers compensation exemption form can be obtained via the internet at: www.WCB.STATE.NY.US 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 Years 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. 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. Stickers must be permanently displayed on the LEFT SIDE of the vehicle and license must be available upon request. License expires each year on the last day of March. 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.     Incorporated Village of East Rockaway 376 Atlantic Avenue, P.O. Box 189 East Rockaway, New York 11518-0189 J:CLERKS OFFICE\Misc. 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