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Parking Permit Application

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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.

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