Cummington Police Department

18A Main Street/Box 98

Cummington, MA 01026

413.634.0056 - Station

413.634.0056, *51 - Facsimile

413.586.1508 - 24Hr Dispatch

Dennis W. Forgea

Chief of Police

PARKING PERMIT REQUEST

Name: __________________________________________________________________

Address: ____________________________________ Phone: _____________________

Group/Organization: ______________________________________________________

Event Location: __________________________________________________________

Date(s) / Time(s) Requested: ________________________________________________

________________________________________________________________________

________________________________________________________________________

All requests must be received at least 15 days prior to event for processing

All parking will be on the South Side of Main Street, facing in an Easterly direction.

Handicapped parking is available on the East Side of the Community House

Please send requests to:

Cummington Police Department

Box 98

Cummington, MA 01026

Attn: Parking Permits

PERMIT #: _______

This permit is granted in conformity with the statutes and ordinances relating thereto and expires on: _________________

Date of Issue: __________________ Approved by: ____________________________