White Haven, PA · Luzerne County
Application for Special Permit for Temporary Uses
White Haven organizations use this application to request a temporary special permit for a carnival, parade, music event, festival, or other event.
What this form is
This application requests a temporary special permit for an event in White Haven, including a carnival, fair or festival, parade, music event, or another use. It asks for the event location, zoning district, dates and times, sponsoring organization and contact details, property owner information, and an event description. The sponsoring organization representative certifies nonprofit status and accepts responsibility and liability.
Who needs it
A representative of a nonprofit organization seeking a temporary special permit for an event in White Haven should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; attach a certificate of insurance naming White Haven Borough as an additional insured.
How to submit this form
- 1
Download The Application
Download the temporary use special permit application PDF.
- 2
Complete The Application
Enter the event details, organization and contact information, property owner details, and a short event description.
- 3
Attach The Insurance Certificate
Attach a certificate of insurance naming White Haven Borough as an additional insured.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the White Haven temporary use special permit application for?
- It requests a temporary special permit for a carnival, fair or festival, parade, music event, or other event in White Haven.
- Do I need a notary for the White Haven temporary use special permit application?
- No. The application is signed without a notary. Attach a certificate of insurance naming White Haven Borough as an additional insured.
- How do I submit the White Haven temporary use special permit application?
- Submit it to the city department named on the form; check the city website for current contact details.