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Village Parking Permit Form
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This form has been modified since it was saved. Please review all fields before submitting.
Date
*
Date
Occupied by:
*
Owner
Tenant
Name
*
Email Address
*
Address
*
Phone Number
Property Management Company Name
If applicable
Property Manager Email Address
If applicable
Property Management Company Address
if applicable
City
State
Zip Code
Property Manager Phone Number
If applicable
Photo Upload
*
PHOTO REQUIRED. Application requests will not be processed without all information. Please upload a photo of your garage space. Only two permits will be issued per household.
Color
Make
Model
Plate Number
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
*
Date
*
Date
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