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APPLICATION 1FOR RESIDENTIAL PARKING PERMIT <br />JUNE 15, 1998 TO JUNE 15, 1999 <br />(PLEAS_ E PRINT-) <br />LAST NAME FIRST NAME <br />• ADDRESS <br />Zone #_ <br />PHONE# <br />Please check one: Property Owner <br />Tenant <br />MUST <br />parlY this <br />If tenant, <br />Lea e of at least one of the 2.) Letter from landlord following <br />Gas, water, ort lephonelbill ion. <br />) <br />Section I. Vehicle Permits ALL applicants must show copy of vehicle regist`rattieo mit # <br />Year Make/ Model State of Plate License # v -- <br />t. <br />2. --- <br />Section II. Guest Permits. <br />Permits are to be used for specified purposes only. See regulations. Only two guest permits <br />desired. 1 or 2 <br />may be issued for an affected residence. Circle number <br />Permit Numbers <br />Section III. Fees Check One: <br />• I hereby apply for renewal of the above permit(s) for one year. I understand I will be charge <br />as follows: <br />IF land parcel has no off-street parking, the parcel is entitled to two free t'esi_ dial <br />permits. Free permits will be issued on a first come; first served <br />permits. s re still limited <br />EXC� s. For land parcels with multiple apartments, p <br />to two, and only one free permit may be issued to an apartment. $ -�- <br />Over 65 and qualified for tax or rent relief $1.00 per permit. $� <br />Residential permits - $10.00 per permit <br />Guest permits - $ 10.00 per permit (NO Free Guest Permits) $ <br />Certification of Applicant <br />d the permit parking regulations and agree to comply with <br />I certify that I fully understan <br />its only to the vehicles described above. I understand <br />them. I agree to affix the vehicle perm <br />that my permits may be revoked should 1 fail to follow these regulations. I further certify <br />that the information given on this application is correct, to the best of my knowledge. <br />• Date <br />Signature of Applicant <br />