BILLINGS TOWNSHIP CAMPING PERMIT

BILLINGS TOWNSHIP HALL

1050 Estey Rd
Beaverton MI 48612
fax 989-435-8356
e-mail clerk@ejourney.com

THIS PERMIT MUST BE FILLED IN COMPLETELY AND DELIVERED TO THE OFFICE OF THE BILLINGS TWP.
ClERK NO LATER THAT THE FIRST DAY OF THE PERIOD THE R.V. LISTED WILL BE ON THE PROPERTY
LISTED.THIS MAY BE DELIVERED BY U.S. MAil, IN PERSON, VIA FAX OR EMAIL FAILURE TO DO SO
MA Y RESUL T IN ISSUANCE OF A CIVIL INFRACTION WHICH MA Y RESULT IN FINES OF $500.00 PER
INCIDENT.

DATE{S) OF USE _______________________________________________________________________________

TYPE OF R.V. AND VALID PLATE # _______________________________________________________________

ADDRESS OF PROPERTY IN BILLINGS TWP. ______________________________________________________

NAME OF R.V. OWNER __________________________________________________________________

NAME/ADDRESS OF PROPERTY OWNER{IF DIFFERENT FROM R.V. OWNER, INCLUDING CITY, STATE, ZIP

EMERGENCYCONTACTNAMEjPH# ________________________________________________________________

SIGNATURE OF PROPERTY OWNER, _____________________________________________________________

BY SIGNING THIS DOCUMENT, I ACCEPT RESPONSIBILITY FOR THE ABOVE R.V. AND ANY FINES THAT
MAY RESULT FROM ANY VIOLATION OF BILLINGS TWP. ORDINANCES.