8925 SW Avon Ct C7 R065 T-OD)�
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Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name: I�LcLnbn rn
Address: S q \Q)n (1,7E.
Tigard, OR 97224 Phone #
2. For proof of residency, attach a copy of a utility bill, real estate title or rental contract
including name & address.
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3. Attach a copy of the vehicle registration for each parking permit requested.
Each household will receive 1 guest-parking permit. If you would like more than 1 guest- N/
parking permit, how many would you like?L_2_)
I agree to use any parking permit(s) assigned to my vehicle(s) only on the specific vehicle it is
assigned by the City of Tigard Police Department, for the purpose, it was issued. Any
parking permit(s) remain the property of the City of Tigard and may be revoked if improper
use is demonstrated. I agree to assign guest parking permit(s) to people only while visiting my
home and surrender any rights if I move. Violation of any of these understandings may result
in cancellation of the parking permit(s). After cancellation, any vehicle(s) found parked in the
permit area bearing said parking permit(s) shall be cited.
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Signature Date
Mail this application with proof of residency and vehicle registration(s) to:
Tigard Police Department
THS Area Parking Permits
13125 SW Hall Blvd.
Tigard, OR 97223
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_ _.. __
OREGON DRIVER AND MOTOR VEHICLE SERVICES CERTIFIES THE PARTY IS LISTED AS OWNER OF THE CONTROL NUMBER
DESCRIBED VEHICLE.DOCUMENTS FILED WITH DMV SHOW THE VEHICLE IS SUBJECT TO THE OWNERSHIP \.
INTERESTS SPECIFIED. 5948938
PLATE NUMBER TITLE NUMBER PROCESS DATE SURVIVOR REFERENCE NUMBER
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBEREQUIPMENT NO.
2010
D mFLN !i HD g{ ( tp 1. Imo036646
. ,-
OWNERILESSEE ODOMETER READING ODOMETER DATE
ODOMETER MESSAGE
• The title'Brand"printed below indicates the histo ,. �
condition,or circumstances of the vehicle for%which
LAMB ORN Y P A i T I KAY ��� � this title has been issued.Please see back of title for
g925 .SW AVON CT more information.
TIGARD OR 972''
NONE
i
I
USE THIS SECTION WHEN THE ONLY CHANGE IS TO REMOVE A SECURITY INTEREST, FOR ANY OTHER CHANGES,SEE INSTRUCTIO\S ON REVERSE.
It there is no change in owners as shown above AND all security SIGNATURE(DOES NOT RELEASE INTEREST) DATE
interest holders have released interest,one registered owner must
is
OREGON DRIVER AND MOTOR VEHICLE SERVICES CERTIFIES THE PARTY IS LISTED AS OWNER OF THE CONTROL NUMBER
DESCRIBED VEHICLE.DOCUMENTS FILED WITH DMV SHOW THE VEHICLE IS SUBJECT TO THE OWNERSHIP 4473662
INTERESTS SPECIFIED.
PLATE NUMBER TITLE NUMBER PROCESS DATE I SURVIVOR REFERENCE NUMBER
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER EQUIPMENT NO.
�?Ci07 DODG D CAL 183Hf3==+8677D504866
OWNERILESSEE ODOMETER READING JOIDOMETERIDATE
OF-/Q._f 12
ODOMETER MESSAGE
The title Brand'printed below indicates the history,
fi=I�#FO �r I•I .�' condition,or circumstances of the vehicle for which
this title has been issued.Please see back of title for
0025 SW AVON %T more information.
TIGARD OR 0722-4
NONE
i
USE THIS SECTION WHEN THE ONLY CHANGE IS TO REMOVE A SECURITY INTEREST. FOR ANY 07NER CHANGES,SEE INSTRUCTIONS ON REVERSE.
If there is no change in owners as shown above AND all security SIGNATURE(DOES NOT RELEASE INTEREST) DATE
interest holders have released interest,one registered odvner must