2025-10-Hour-Quarterly

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TEN (10) HOUR METER PARKING PERMIT APPLICATION VALID FOR 2025- - QUARTERLY

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/reserved parking spaces/meters for anyone.

5. This permit expires at the end of my current quarter purchased. It is my responsibility to renew each quarter.

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

Quarterly permits may be renewed each quarter using this application. Please bring your actual permit placard into the borough office when renewing. Fee per each quarter through December 2025: $80.00 each *No Proration*

Applicant Signature

Cash

Check Number

Date

Borough Representative Signature

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