RESIDENTIAL PARKING PERMIT APPLICATION FORM

*Required

Annapolis address (resident only)

District

Is there a driveway, garage, or any parking area at this address?

Yes No

Applicant

First Name

Last Name

Driver's License

State

Driver's License ID Number

Phone Number

Home

Cell

Work

If you are renting, please enter your lease expiration date:

Vehicle

License Plate State

License Plate Number

Year

Make

Model

Color

* I hereby certify under the penalties of perjury that :

I am a resident of the above parking district area.

The vehicle listed above does not have any unpaid City parking tickets.

I acknowledge that a temporary residential parking permit does not allow parking at parking meters, redlines, loading zones, handicapped spaces, or in areas prohibited by sign or law.

I acknowledge that the temporary residential parking permit expires on the date or dates selected above.

I have read this Application and the Temporary Parking Permit Information. My application and supporting documents are true and correct. This application is made for the purpose of obtaining a temporary residential parking permit under the provisions of Chapter 12.32.140 of the Annapolis City Code.

Today's Date

Residential Parking Permit Program Application

RESIDENTIAL PARKING PERMIT APPLICATION FORM

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RESIDENTIAL PARKING PERMIT APPLICATION FORM

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