Parking Lot Permit Application

Date *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Type of Vehicle *

Make of Vehicle *

Model of Vehicle *

License Plate Number *

Parking Lot Rules acknowledgement *

By clicking YES you are agreeing to the following. North York Borough Government is the leasee of this parking lot, therefore they maintain total control of parking on the lot. The Borough has decided to issue permit parking for vehicles that would like to continue to park in this lot. The permit will be good for one year. at that point it will need to be renewed. The Borough is not responsible for damages or theft of property while on the premises.

The monthly fees are as follows:

$50.00 for cars, truck, suv, recreational vehicles, and boats.

$100.00 for commercial tractor trailers/trailers

Payment must be made in the form of check, money order, or we accept debit/credit card payment with a small service fee.

Signature of Applicant and Date