TEN (10) HOUR METER PARKING PERMIT APPLICATION

TEN (10) HOUR METER PARKING PERMIT APPLICATION
VALID FOR CALENDAR YEAR 2025
ONLY FOR USE AT: 10 HOUR METERS EAST OF CHURCH STREET
NOT VALID FOR ANY TWO-HOUR METERS.

NOT VALID FOR THE PARK AND SHOP LOT ON MAIN STREET, OR RESTRICTED PARKING AREAS.
WINTER OVERNIGHT PARKING RULES REMAIN IN EFFECT
By signing below, I understand and I am certifying:

1. I will not use this permit for any vehicle other than the vehicles on this original application.

2. If I dispose of a vehicle and replace it with another, I shall notify Honesdale Borough parking enforcement of all new vehicle information or I may be ticketed. If my vehicle is in the shop and I have a loaner/rental, I may use my original permit if notifying the borough by 10AM. Failure to do SO will result in tickets being valid.

3.I understand there is no guarantee I will find a parking place at a 10-hour meter near my

4. There are no designated parking spaces/meters for anyone.

When making application:

1. Please complete this form in its entirety (front and back)

2. Please have the following vehicle information available: a. Year, make, model, and color b. license plate number
Print Name
Print Address
Cell Phone #
Home
Work
Employer optional
Vehicle 1 Year Make Model Color
Vehicle 1 Plate number
Permit
Vehicle 2 Year Make Model Color
Vehicle 2 Plate number
Permit
Vehicle 3 Year Make Model Color
Vehicle 3 Plate number
Permit
Fee for Calendar Year 2025: $300.00 each *No Proration*
Applicant Signature

Clear
Cash
Check Number
Date

MonthDayYear
Date
Borough Representative Signature

Clear
All forms that require payment will not be processed unless that form and payment is received at the Borough building.
Should be Empty:

TEN (10) HOUR METER PARKING PERMIT APPLICATION

VALID FOR CALENDAR YEAR 2025

ONLY FOR USE AT: 10 HOUR METERS EAST OF CHURCH STREET

WINTER OVERNIGHT PARKING RULES REMAIN IN EFFECT