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District
No. __________
APPLICANT:_______________________________________________________________
First Middle
Last
DRIVER'S
LICENSE NO: State:__________ No.:________________________________
DAYTIME
PHONE NO: Home: ________________________ Work:__________________
ANNAPOLIS
ADDRESS: _____________________________________________________
Do
you have off-street parking? _____Yes
______No
VEHICLE
INFORMATION: (Office Use Only) |
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Car # |
Permit
# |
State |
Tag
# |
Make |
Color |
Fee |
| 1 |
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| 2 |
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| 3 |
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| 4 |
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| Total |
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I
HEREBY CERTIFY UNDER THE PENALTIES OF PERJURY THAT:
a. I am a permanent resident of the above address and I intend to reside
at that location for at least 101 days; I am also the authorized user
of the above vehicle.
b. The information stated above is true and correct and made for the purpose
of obtaining a residential parking permit under the provisions of Chapter
12.32 of the Code of the City of Annapolis.
c. I acknowledge that a residential parking permit does not allow me to
park at parking meters or in areas prohibited by sign.
DATE:
_______________ SIGNATURE:________________________________________
Office Use Only _____ off street parking _____ non-resident
permit
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