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15810 SW Stratford Lp G P-C)o -/ sc-d a? Tigard High School Area Parking Permit Application Permit Period: September 2016—June 2018 1. Applicant name: } PSV vq-'YC 2 l r ' Address: [j { c4 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. 3. Attach a copy of the vehicle registration for each parking permit requested. ( I Each household will receive 1 guest-parking,-perm' it. If you would like more than 1 guest- parking permit, how many would you Ilk 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. 8Q-� ?A rn 4 `_� 1 7 � l 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 Please return this portion with payment.Please DO NOT staple or tape check to the coupon. ❑ FOR CHANGE OF ADDRESS,PLEASE CHECK BOX AND COMPLETE FORM ON REVERSE SIDE. City Of Tigard ( UTILITY BILLING 13125 SW Hall Blvd. Tigard,OR 97223 C1tJE'QA�CE; August 24,.2015 TOTAL Qtlf; $99.1fi ADDRESS SERVICE REQUESTED ServimAddress: X5810"S STRATFOR©=tP Gistorrier 1U,umbers t351T81-000 2007 1 AV 0.376 5!273 02034 0001:0001Ntakechack payabfeaa; City oTigard. �. 503 718 www. gardl 2 46(1 ti -or.gov,`. �Ill�lli��ll���lllll�ll�l�ll���ln���u�l�llll�"Il�lnllll��lll� w " . TERI ZIMMERLY Y` 15810 SW STRATFORD LP �11'�i�l"1111111'II���III��II��1���1�11�11��1�11���1�11�1�1�1111 TIGARD OR 97224-5557 CITY OF TIGARD P.O. BOX 3129 PORTLAND,OR 97208-3129 101051781000000000000099163 �� i PASSENGER REGISTRATION CARD PLATE NUMBER TITLE NUMBER FUEL TYPE FARM ID NO. 064CJN 0609464605 GASOLINE NEW EXPIRATION DATE YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER MAR 16 , 2.01.$ HVUT DATE 1998 FORD PU NG 1FTYR14U7WPA67609 FEE EQUIPMENT NO. WEIGHT/LENGTH TITLE BRANDS — DOMETER READING ODOMETER DATE ODOMETER MESSAGE NONE $86 . 00 x°M°tOP VJ:��I s +4 �p Lu t O kms: - r � ZIMMERLY, TERI LYNN ��FtiT or sa�rSQ°� 15810 SW STRATFORD LOOP t� COUNTY OF RESIDENCE COUNTY OF USE TIGARD OR 97224-5557 WASHINGTON NEW ADDRESS(HOUSE NUMBER,STREET,CITY,STATE,ZIP CODE) VA 10 51Mg945 NEW PLATE NUMBER N�N$T,y�F�Ryil.jppgER