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2. Residential Permit Parking Program - NEW Permit Application
   This form is for new residents who have never purchased Residential Permit Parking hang tags.
4. THE FOLLOWING MUST BE SUBMITTED:
    VALID California Driver’s License or Photo ID  PROOF OF RESIDENCY: One of the following documents which shows the resident’s name and address: • Current lease agreement (required if a permit has previously been issued to the residency) • Entire current (last 90 days) copy of utility bill • Current property tax bill
6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Phone Number (Include Area Code)
18. E-mail Address
20. Registered Owner of Vehicle 1
21. Year and Make of Vehicle 1
22. License Plate Number
24. Would you like a Visitor Permit *
    -- Select One --YesNo

    (One per purchased Residential Permit)
26. Registered Owner of Vehicle 2
27. Year and Make of Vehicle 2
28. License Plate Number
30. Would you like a Visitor Permit
    -- Select One --YesNo

    (One per purchased Residential Permit)
32. Registered Owner of Vehicle 3
33. Year and Make of Vehicle 3
34. License Plate Number
36. Upload a picture of your Driver's License*
38. Upload Proof of Residency*
    Must show resident's name and address. Valid documents include (Current Lease Agreement, Current Utility Bill; Current Property Tax Bill)
40. ACKNOWLEDGEMENT OF RECEIPT OF POLICIES AND PROCEDURES*

    I hereby certify under penalty of perjury that the foregoing is true and correct as to the facts contained herein and I am a resident of the above listed address and that the vehicle(s) listed are registered with the state of California, Department of Motor Vehicles. I also certify I have read the information regarding the use of this permit and understand the POLICIES AND PROCEDURES as they relate to authorized Residential Parking Permits.

    1. Yes
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field