| Incorporated Village of Lawrence |
Resident Parking Permit Application
RESIDENTS OF LAWRENCE
|
Check Type of Permit Being Issued:
_____Resident 1st Car.....$40.00
_____Resident 2nd Car....$20.00
_____Overnight..............$300.00
|
Permit #:_______________
Date:_______________
EXPIRES: JANUARY 31, 2009 |
To the clerk of the Village of Lawrence:
Pursuant to the provisions of Village Ordinance., the undersigned hereby makes
application for a license to park the following described motor vehicle in the
licensed parking areas described in said ordinances when space thereon is
available. |
| Owner of Registration:
___________________________________________
Address on Registration: _________________________________________
Lawrence Address: ____________________________________________
Year & Make of Car: ___________________________________________
License Plate #: _________________ Registration Expires:
______________ |
I agree that the Incorporated Village of
Lawrence shall not be liable for any loss of or damage to the above
described motor vehicle or its equipment occurring while such motor
vehicle is parked in any licensed parking area in said village.
*NOTE:
NO REPLACEMENT STICKER WILL BE ISSUED WITHOUT THE RETURN OF YOUR OLD
STICKER. |
| |
_______________________________
Signature of Applicant |