2026 Park & Shop Lot Monthly

MONTH

PARK & SHOP LOT PARKING PERMIT APPLICATION

MONDAY - FRIDAY (LOT OPENS AT 7AM AND CLOSES AT 9PM)

ONLY FOR USE AT: PARK & SHOP LOT

NOT VALID FOR ANY TWO-HOUR METERS OR TEN-HOUR METERS.

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. There are no designated/reserved parking spaces 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 #

Format: (000) 000-0000.

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

Monthly permits may be renewed each month using this application. Please bring your actual permit placard into the borough office when renewing. Fee per month through December 2026: $50.00 each *No Proration* **Noteworthy: Limited number of Park & Shop spaces are available. Please check if space is

Applicant Signature