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2. Borough of Hawthorne

   Health Department

   445 Lafayette Avenue, 2nd Floor
   Hawthorne, NJ 07506

   Phyllis Wooldridge
   Phone: 973-427-4012  ~  Fax: 973-427-1882

   https://hawthornenj.org/269/Health

4. Business Name*
6. Business Address*
8. Business Phone Number
10. Business Owner Name*
12. Business Owner Address
14. Contact Number*
15. Email Address*
19. Type of Cleaners

    Select one.

    1. Dry cleaners
    2. Laundromat
    3. Coin-operated / Self-service
    4. Commercial
21. Number of dry-cleaning machines
22. Number of dryers

24. Annual Fee: $150 - January 1 to December 31 

    Cash or Check only - Checks made payable to: The Borough of Hawthorne

    Please mail or deliver application and fees to the Health Department NO LATER THAN January 31st.  
    Your license will be mailed to you, Please post in public view. 

    Thank you for your continued business in the 
    Borough of Hawthorne.

    Any questions or concerns may be directed to the Registrar, pwooldridge@hawthornenj.org.

26. Signature of Applicant*
27. Date*
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28. Print Only

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