Parking Permit Application
Parking Permit Application Summary
This is a Parking Permit Application form from the Ebensburg Borough Police Department, located in Ebensburg, Pennsylvania. The form is used to apply for a parking permit that allows the holder to park in designated municipal lots only — not on streets or other non-designated areas.
Key Details:
Permit Validity:
- Fields provided for Permit #, Issue Date, and Expiration Date (all blank in the template).
- Permits must be visibly displayed — hanging from mirror or on dashboard. If not visible, a ticket will be issued and not taken back — no exceptions.
Applicant Information Required:
- Full name, address (including apartment number), phone numbers (home and cell)
- Place of work and its phone number
- Vehicle details: license plate number, make, model, color
Car Pooling / Alternate Parking Option:
- A second set of fields is provided if the permit can be shared with another person (e. g. , carpooling).
- Includes same personal and vehicle info for the second party, plus a “2nd Plate number” field.
Parking Rules & Restrictions:
- Municipal lot spaces are on the back row — no guaranteed spots; first come, first served.
- Special events may close lots or require moving vehicles from bagged meters — notice will be given if possible.
- Failure to move vehicle during special events may result in ticketing and towing.
Payment Terms:
- Monthly fee: $25. 00, due on the 1st of each month.
- Alternatively, applicants may return the permit to the office (presumably to cancel or pause service).
Contact Information:
- Ebensburg Borough Police Department
- Phone: 472-8930
Signature Line:
- Applicant must sign at the bottom to acknowledge terms.
⚠️ Important Note: The form emphasizes strict enforcement — permits must be clearly visible at all times while parked. No leniency is offered for forgotten or obscured permits.
This form serves as both an application and a contract outlining responsibilities and restrictions for using municipal parking facilities in Ebensburg.