Parking Permit Application
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Overview
This document is a Parking Permit Application form issued by the Ebensburg Borough Police Department. It allows residents or employees to apply for a parking permit and includes fields for personal information, vehicle details, and carpooling arrangements.
Form Sections
The form is divided into three main sections:
Primary Applicant Information
- Permit Details: Fields for Permit #, Date issued, and Expiration date.
- Personal Info: Name, Address (including Apt#), Phone#, and Cell#.
- Employment: Place of Work and associated Phone number.
- Vehicle Details: Plate number, Make, Model, and Color.
Carpooling/Alternate Parking (Share Permit)
- This section allows a second person to share the permit.
- Requires the same set of information as above: Name, Address, Phone#, Cell#, Place of Work, and Vehicle details (2nd Plate number, Make, Model, Color).
Terms and Conditions
- Parking Location: Permits are valid only for a specific lot (to be filled in). They do not allow parking on streets or other lots.
- Municipal Lot: Spaces are located in the back row and are first-come, first-served. No designated spots are guaranteed.
- Visibility Requirement: The permit must be completely visible, hanging from the mirror or on the dash.
- Penalty: If writing is not visible, a ticket will be issued and cannot be taken back. No exceptions.
- Payment: Payments are due on the 1st of every month for $25. 00, or the permit must be returned to the office.
- Special Events: During special events, parking may be restricted at bagged meters or in closed lots. Vehicles must be moved if notified; otherwise, they may receive a ticket and be towed.
Contact Information
- Issuing Authority: Ebensburg Borough Police Department
- Phone: 472-8930
Signature
- A signature line is provided at the bottom right for the applicant to sign.