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Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name:
Address:
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. '71
Each household will receive 1 guest-parking pe t. If you would like more than 1 guest-
- 1 ___._ •`
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
)ermit area bearing said parking permit(s) shall be cited.
J t �
Signatluixe -- 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 detach and send coupon with check payable to:U.S.Bank
(=ba"n-k.
01403784006
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24-Hour Cardmember Service: 1-800-285-8585 i I�
to pay by phone I
. to change your address Ii
000019450 01 SP 000638510144891 P
KATHARINA E LINGEMANN15815 SW 88TH AVE
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TIGARD OR 97224-5505 /
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OREGON PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
095HZG 1606048308 022916 JAN 12 , 18 GASOLINE WEIGHT/LENGTH
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER
2009 BMW CN 128 WBAUN13529VH81250
ODOMETER READING ODOMETER DATE
TITLE BRANDS - 33 , 9491 01/12/16
OWNER/ ODOMETER MESSAGE
LESSEE
LINGEMANN, KATHARINA E
15815 SW 88TH AVE
T I GARD OR 97224 COUNTY of COUNTY OF
RESIDENCE USE
WASHINGTON
NEW
ADDRESS
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUELTYPE EQUIPMENT NO.
143GAP 1234915425 121412 [\fO1' 2G= z-3
WEIGHT/LENGTH
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER
2013 DODG UT JN`=' 3C4!DOAB5DT561713
ODOMETER READING ODOMETER DATE
TITLE BRANDS — NON 19 -11/20/
OWNER/ ODOMETER MESSAGE
LESSEE
LINGEMANNY KATHARINA E
T I GARP r Al COUNTY OF COUNTY OF
§L, RESIDENCE USE
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NEW
ADDRESS