Do I need a notary for the Special Event Permit Application?

No. The application is signed without a notary. The applicant swears the information is true under penalty of law, but the form does not indicate that notarization is required.

How do I submit the Special Event Permit Application?

Send the completed application, $100 check payable to Harveys Lake Borough, and required attachments to the Borough at 4875 Memorial Highway, Harveys Lake, PA 18618.

When is the special event application due?

Submit it at least 60 days before the proposed event. If you request a full or partial roadway closure, submit it at least 90 days beforehand.

What attachments does the application require?

Include a detailed map or plan, a certificate of general liability insurance, and a signed indemnification agreement. An escrow cleanup check may also be required, as determined by Borough Council.

Harveys Lake, PA · Luzerne County

No notary required

Special Event Permit Application

Event organizers use this application to request Borough approval for a special event held within Harveys Lake.

What this form is

The application begins the process of requesting Borough approval for a special event in Harveys Lake. Applicants provide event, route, roadway closure, vendor, sanitation, and first-aid details, and attach a map or plan, insurance certificate, signed indemnification agreement, and a $100 check. Submit it at least 60 days before the event, or 90 days ahead if requesting a roadway closure.

Who needs it

Anyone planning a special event within Harveys Lake must submit this application to request Borough approval.

How to submit it

Submit the application with a $100 check payable to Harveys Lake Borough and the required attachments to the Borough of Harveys Lake, 4875 Memorial Highway, Harveys Lake, PA 18618.

About notarization

This document is signed without a notary; the applicant swears the application information is true under penalty of law, but no notarization is indicated.

How to submit this form

1
Download The Application
Download the Special Event Permit Application PDF.
2
Complete The Form
Fill in applicant details, event information, route and roadway plans, and descriptions of vendors, sanitation, and first aid.
3
Gather Required Attachments
Attach the detailed map or plan, insurance certificate, signed indemnification agreement, and a $100 check payable to Harveys Lake Borough.
4
Submit To The Borough
Send the application and attachments to 4875 Memorial Highway, Harveys Lake, PA 18618, at least 60 days before the event, or 90 days ahead for roadway closures.

Frequently asked questions

Do I need a notary for the Special Event Permit Application?: No. The application is signed without a notary. The applicant swears the information is true under penalty of law, but the form does not indicate that notarization is required.
How do I submit the Special Event Permit Application?: Send the completed application, $100 check payable to Harveys Lake Borough, and required attachments to the Borough at 4875 Memorial Highway, Harveys Lake, PA 18618.
When is the special event application due?: Submit it at least 60 days before the proposed event. If you request a full or partial roadway closure, submit it at least 90 days beforehand.
What attachments does the application require?: Include a detailed map or plan, a certificate of general liability insurance, and a signed indemnification agreement. An escrow cleanup check may also be required, as determined by Borough Council.

Need something notarized?

This Special Event Permit Application doesn’t need a notary — but if you have another Harveys Lake form that does, a commissioned online notary can help.