9232 SW Martha St Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name:
Address: �, 3.� �JG 4E#66 k
Tigard, OR 97224 Phone # AT07
2. For proof of residency, attach a copy of a utility bill, real estate title or rental contract
including name & address. Ul)
3. Attach a copy of the vehicle registration for each parking permit requested.
Each household will receive lguest-parking permit. If you would like more than 1 guest-
parking permit, how many would you like? _
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.
Sign 'ure 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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PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
14 4GYV 14247 .7744 090 414 {AUG 12, t8 GASOLINE
YEAR MAKE STYLE I MODEL VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
201 HYUN 4a SON 5NPEC4AGIEH862795
TITLE BRANDS NONE ODOMETER READING ODOMETER DATE
OWNER/ 33 08/12/14
LESSEE ODOMETER MESSAGE
VELARD I, JEANNETTE
5232 Std MARTHA ST
TIGARD OR 97224 COUNTY OF COUNTY OF
RESIDENCE USE
NEW WASHINGTON
ADDRESS