[ { "page": 1, "items": [ { "page": 1, "type": "FORM_FIELD", "location": { "l": 493.013, "t": 780.618, "r": 599.675, "b": 766.39 }, "text": "Submit by Email", "field_kind": "button", "label": "Submit by Email", "pdf_field_name": "Submit by Email", "pdf_field_type": "Button", "reading_order": 0 }, { "page": 1, "type": "TEXT", "location": { "l": 160.8, "t": 719.04, "r": 450, "b": 626.88 }, "text": "TOWNSHIP OF JACKSON\nOFFICE OF THE MUNICIPAL CLERK\n95 West Veterans Highway\nJackson, New Jersey 08527\n(732) 928-1200\nFax (732) 928-4377", "reading_order": 1 }, { "page": 1, "type": "TITLE", "location": { "l": 96.48, "t": 598.8, "r": 515.52, "b": 540.24 }, "text": "APPLICATION FOR “NO KNOCK REGISTRY”\nPURSUANT TO CHAPTER 310, SECTION 6 OF THE ADMINISTRATIVE CODE\nOF THE TOWNSHIP OF JACKSON ENTITLED\n“HAWKING, PEDDLING & SOLICITING”", "reading_order": 2, "level": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 87.12, "t": 527.04, "r": 519.84, "b": 512.88 }, "text": "NAME: ___", "reading_order": 3 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 132.992, "t": 528.176, "r": 517.998, "b": 515.176 }, "text": "NAME", "field_kind": "text", "label": "NAME", "pdf_field_name": "NAME", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 1, "type": "TEXT", "location": { "l": 88.56, "t": 501.6, "r": 519.36, "b": 475.92 }, "text": "ADDRESS", "reading_order": 5 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 89.936, "t": 490.256, "r": 519.198, "b": 477.256 }, "text": "ADDRESS", "field_kind": "text", "label": "ADDRESS", "pdf_field_name": "ADDRESS", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "TEXT", "location": { "l": 87.36, "t": 452.4, "r": 292.32, "b": 438 }, "text": "TELEPHONE: ___\nemail: ___", "reading_order": 7 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 165.363, "t": 453.176, "r": 291.149, "b": 440.176 }, "text": "TELEPHONE", "field_kind": "text", "label": "TELEPHONE", "pdf_field_name": "TELEPHONE", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 1, "type": "TEXT", "location": { "l": 303.36, "t": 452.16, "r": 520.8, "b": 437.52 }, "text": "email:", "reading_order": 9 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 338.573, "t": 453.176, "r": 519.287, "b": 440.176 }, "text": "email", "field_kind": "text", "label": "email", "pdf_field_name": "email", "pdf_field_type": "Text", "reading_order": 10 }, { "page": 1, "type": "TEXT", "location": { "l": 87.36, "t": 398.88, "r": 252, "b": 385.92 }, "text": "Date: _____", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 118.801, "t": 400.976, "r": 250.109, "b": 387.976 }, "text": "Date", "field_kind": "text", "label": "Date", "pdf_field_name": "Date", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 305.962, "t": 400.976, "r": 520.758, "b": 387.976 }, "text": "Date1", "field_kind": "text", "label": "Date1", "pdf_field_name": "Date1", "pdf_field_type": "Text", "reading_order": 13 }, { "page": 1, "type": "TEXT", "location": { "l": 303.84, "t": 386.88, "r": 410.16, "b": 371.76 }, "text": "Signature of Resident", "reading_order": 14 }, { "page": 1, "type": "TEXT", "location": { "l": 87.36, "t": 361.44, "r": 411.84, "b": 346.32 }, "text": "Decal issued: () In person () Via U.S. mail", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 310.96, "t": 357.64, "r": 327.367, "b": 348.862 }, "text": "( ) Via U.S. mail", "field_kind": "checkbox", "label": "( ) Via U.S. mail", "pdf_field_name": "Check Box1", "pdf_field_type": "CheckBox", "value": "Off", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 87.12, "t": 334.08, "r": 302.64, "b": 318.72 }, "text": "Date Issued: ___", "reading_order": 17 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 156.524, "t": 334.15, "r": 300.836, "b": 321.15 }, "text": "Date Issued", "field_kind": "text", "label": "Date Issued", "pdf_field_name": "Date Issued", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 1, "type": "TEXT", "location": { "l": 97.44, "t": 289.2, "r": 512.88, "b": 239.04 }, "text": "The above owner and/or occupant has notified the Township Clerk that canvassing, peddling, itinerant vending and door-to-door sales enterprising are not permitted on the above referenced premises.", "reading_order": 19 }, { "page": 1, "type": "TEXT", "location": { "l": 92.64, "t": 224.88, "r": 519.12, "b": 192.24 }, "text": "This application can also be found online at Jacksontwpnj.net. Your “No Knock” sticker will be mailed to you directly.", "reading_order": 20 }, { "page": 1, "type": "TEXT", "location": { "l": 86.88, "t": 168.72, "r": 523.2, "b": 151.92 }, "text": "Please do not write below this line", "reading_order": 21 }, { "page": 1, "type": "TEXT", "location": { "l": 86.88, "t": 140.16, "r": 521.76, "b": 87.12 }, "text": "I, Mary Moss, RMC, Municipal Clerk of Jackson Township in the County of Ocean, State of New Jersey, declare that the above referenced applicant has satisfied the requirements set forth in Ordinance #41-08 and #18-15 regarding “Hawking, Peddling and Soliciting – No Knock Registry”", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 89.947, "t": 78.01, "r": 227.638, "b": 65.01 }, "text": "12922", "field_kind": "text", "label": "12922", "pdf_field_name": " 12922", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 233.013, "t": 78.01, "r": 519.136, "b": 65.01 }, "text": "129221", "field_kind": "text", "label": "129221", "pdf_field_name": " 129221", "pdf_field_type": "Text", "reading_order": 24 } ] } ]