Do I need a notary for the Residential Block Party Request Form?

No. The applicant signs and dates the form without a notary. Include the resident signature list showing consent from a majority of affected residents.

How do I submit the Residential Block Party Request Form?

Send the request and petition by email, fax, or mail to the Borough Manager. The form lists manager@clarkssummitpa.gov, fax (570) 586-3024, and the borough mailing address.

When should I submit a block party request?

Submit the request at least 30 days before the block party date; the form says permission cannot be guaranteed otherwise.

What information and attachments does the request require?

Provide the location, event date and times, contact information, and barricade drop-off address if different. Include a petition showing consent from a majority of affected residents.

Clarks Summit, PA · Lackawanna County

No notary required

Residential Block Party Request Form

Clarks Summit residents use this request form to seek borough approval for a residential block party and provide information about the event and affected residents’ consent.

What this form is

The form requests borough approval for a residential block party and asks for the event location, date and times, contact details, and barricade drop-off address. Applicants must submit it at least 30 days before the event and include a petition showing consent from a majority of affected residents. Requests are subject to Police Department review, and only minor residential side streets will be considered.

Who needs it

An adult Clarks Summit resident planning a residential block party should complete the request and gather signatures showing consent from a majority of affected residents.

How to submit it

Submit the application and petition by email to [email protected], by fax to (570) 586-3024, or by mail to Borough Manager, Borough of Clarks Summit, 304 S. State Street, Clarks Summit, PA 18411.

About notarization

This form is signed and dated without a notary; the attached signature list records resident consent, and no sworn or notarized attachment is specified.

How to submit this form

1
Download The Form
Download the Residential Block Party Request Form and its resident signature list.
2
Complete The Request
Enter the location, date and times, contact details, and barricade drop-off address if needed.
3
Gather Resident Signatures
Include a petition showing consent from a majority of affected residents.
4
Submit To The Borough
Send the request and petition by email, fax, or mail to the Borough Manager at the contact information on the form.

Frequently asked questions

Do I need a notary for the Residential Block Party Request Form?: No. The applicant signs and dates the form without a notary. Include the resident signature list showing consent from a majority of affected residents.
How do I submit the Residential Block Party Request Form?: Send the request and petition by email, fax, or mail to the Borough Manager. The form lists [email protected], fax (570) 586-3024, and the borough mailing address.
When should I submit a block party request?: Submit the request at least 30 days before the block party date; the form says permission cannot be guaranteed otherwise.
What information and attachments does the request require?: Provide the location, event date and times, contact information, and barricade drop-off address if different. Include a petition showing consent from a majority of affected residents.

Need something notarized?

This Residential Block Party Request Form doesn’t need a notary — but if you have another Clarks Summit form that does, a commissioned online notary can help.