TLC Dumpster Grant Application

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Localworks TLC Neighborhood Dumpster Grant Application

Applicant's information

First Name *

Last Name *

Email *

Phone 1 *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

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Neighbor Sign Up

A minimum of five (5) neighbors must sign on in order for us to approve your application. Please provide all five (5) names, addresses, and phone numbers here: *

Street(s) to be served by the dumpster: *

Dumpster Location & Communications

Due to new permitting requirements from the City of Wheat Ridge, all dumpsters must now be placed on the street rather than in a residential driveway. If your application is approved, Localworks will submit a permit application on your behalf.

Please provide the closest address to the preferred street placement. *

Please describe where on the street the dumpster should be placed (ex. On the north side of the street between the driveways for houses #1003 and #1004): *

Who will be the primary contact for dumpster delivery and pickup? Please provide their name and phone number here: *

IMPORTANT: The primary contact must be available to communicate with the driver between 8am-4pm on the Thursday and Monday of your preferred dates.

Scheduling

What is your 1st choice weekend (Thursday-Monday) for your dumpster to be delivered? *

IMPORTANT: Applications must be received at least two weeks prior to your earliest desired date.

What is your 2nd choice weekend (Thursday-Monday) for your dumpster to be delivered? *

IMPORTANT: Applications must be received at least two weeks prior to your earliest desired date.

Confirmation

Please review your application to ensure it is complete before submitting. *

I have reviewed my application to ensure it is complete. I understand that incomplete applications will be denied.

Data Privacy & Consent

Yes, I would like to receive communications from Localworks by email.

Yes, I would like to receive communications from Localworks by phone.

Yes, I would like to receive communications from Localworks by mail.

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