Reserved Handicapped Parking Space Permit Application

Application for Reserved Handicapped Parking Permit

This is an application form from The Borough of Hollidaysburg, PA for residents to request a reserved handicapped parking permit.

Required Information

Applicants must provide:

• Date of application
• Full name and address
• Phone number
• Handicapped registration number
• Vehicle registration plate number

Attachments Required

• Photocopy of vehicle registration
• Copy of current handicapped placard

Installation Request

Applicants may request installation of a reserved parking sign and post at their specified location.

Fee Payment

• Space provided to record fee amount paid ($___)
• Date payment was made

Terms and Conditions

By submitting this application, applicants agree that:

• Only the registered vehicle of the permit holder may use the reserved space
• All Borough ordinances (Chapter 15, Part 4, section 412) will be followed
• All rules, regulations, and special conditions imposed by the Borough Manager will be complied with

Approval Process

The form includes sections for:

• Applicant signature and date
• Borough Manager approval/denial decision
• Date of decision
• Permit number (if approved)

Contact Information

The Borough of Hollidaysburg
401 Blair Street, Hollidaysburg, PA 16648
Phone: (814) 695-7543 | FAX: (814) 696-0636
TTY: (814) 696-0300
Website: www.hollidaysburgpa.org

Note: The Borough was incorporated in 1836.