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2013 Parking Permits may be purchased at: - page 3 / 3

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NAME:

ADDRESS:

APT. #

CITY:

ZIP:

DAYTIME PHONE #

PLEASE INCLUDE COPIES OF: DRIVER'S LICENSE VEHICLE REGISTRATION PROOF OF RESIDENCY ( FOR SPB RESIDENTS) (ACCEPTED PROOF -VEHICLE REGISTRATION, VOTER ID, DRIVER'S LICENSE, RENTAL/LEASE AGREEMENT)

E-MAIL:

VEHICLE 1

VEHICLE 2

YEAR

YEAR

CITY OF ST. PETE BEACH 2013 PARKING DECAL PERMIT APPLICATION

"B" RESIDENT

NUMBER

@

$20

TOTAL

$

-

"B" NON-RESIDENT

NUMBER

@

$125

TOTAL

$

-

"B" PASS A GRILLE EMPLOYEE

@

$25

TOTAL

$

-

(PROOF OF EMPLOYMENT REQUIRED)

"D" PERMIT

NUMBER

@

$5

TOTAL

$

-

MAKE

LICENSE TAG #

STATE

PERMIT REQUEST:

ENCLOSE SELF ADDRESSED STAMPED ENVELOPE

TO BE COMPLETED BY STAFF:

VEHICLE 1:

"B" STICKER #

"D" STICKER #

RECEIVED BY:

MAKE

LICENSE TAG #

STATE

TOTAL DUE:

VEHICLE 2:

"B" STICKER #

"D" STICKER #

$

-

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