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Printable Forms

Click the links below to view a printable version of the form. The forms are in Adobe PDF format and you will need the Adobe Acrobat Reader to view them. To download a copy to your local computer right-click the link and select "Save Target As..."

LRBSA Sewer Permit Application - Form A
(All Municipalities except Moosic Borough)

LRBSA Sewer Permit Application - Form B
(Moosic Borough Only)

LRBSA Industrial Discharge Standards