HomeMy WebLinkAbout15720 SW 87th Ave Sc -ate, n4�,
Tigard High School Area Parking Permit Application 4- 0"
Permit Period: September 2016-June 2018
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1. Applicant name: /Z_0� C vu u f l4e
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Address: l 7 2-y 5ij ff_7- 4�_ c__
Tigard, OR 97224 Phone # Z
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2. For proof of residency, attach a copy of a utility bill, real estate title or rental contract 6-7
including name & address.
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-
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.
ignatuie 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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LATE NUMBER 1 KA I ION CA
TITLE NUMBER FUEL TYPE FARM ID no. I
UWG798 _ 9626414534 GASOLINE { NEvrEXPIRATfOD,DATE
YEAR MAKE STYLE MODEL EHICLE IDENTIFICATION NUMBERJUN 11, 2018
1996 FORD 4D AU IFA LP52U3TG260089 ```' DOTE
EQUIPMENT NO. EIGHT/LENGTH TITLE BRANDS FEE
DOMETER READING ODOMETER DATE ODOMETER missAO NON - $86 , 00
PASSENGER REGISTRATION CARD
TE NUMBVt TITLE NUMBER FUEL TY £ NEW EXPIRATION DATE
ZU 0524465141 GASOLI "E JUL 31, 2017
SiYI£ MODEL c '��=A' .�'" 'L"UT DATE
2005 HOiI) VA Dg 5 L38555 15370 FEE
- NONE
- $86.00
F
-MESSAGE
n
State of Oregon
DenartrnentOf .........+■ - 4ft
PASSENGER REGISTRATION CARD
LATE NUMBER TITLE NUMBER FUEL TYPE FARM ID NO. NEW EXPIRATION DATE
658EHX 0922465139 GASOLINE I I JUL 19, 2017
YEARMAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER HVUT DATE
2009 FORD 14D POC 1FAHP37N29W120139 FEE
EQUIPMENT NO. WEITITLE BRANDS
- NONE - $86.00
OOMETER READING I!rR DATE ODOMETER MESSAGE
1
O Mu'(OR VFI/I�
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FASSENGER REGISTRATION
7; G'1` :a fes= ' k-
MAR 27, USE
20141 TQYT 4D PRI JTDKDT839E1059104 WEIGHTALE—NGTH
Ti7LE
MWER r r ODOMETER READING DOMETER DATE
LESSEE 20 03127114
ODOMETER MESSAGE —�--- UMBER
WINDEN, JERRY PATRICK L�
15720 SW 87TH AVE'
TIGARD OR 97224
COUNTYOF COUNTYOF
NEW RESIDENCE USE
ADDRESS WASHINGTON