15885 SW Stratford Lp #A Tigard High School Area Parking Permit Application
Permit Period.• September 2016—June 2018
1. Applicant name: ,f, 1-2 )'4 ,tirVII.V:7t j
Address: /rj Jr-)o
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.
Each household will receive 1 guest-parking permit. If you would like more than 1 guest-
parking permit, how many would you like? 3
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 bearin said parking permit(s) shall be cited.
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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State of Oregon Department of Fn-ironrnenial Quality
877-476-0583
EMISSION TEST REPORT 971-673-163012th
12th A- nue
Spate of Oregon
1240 SE 12th Avenue
I�nCt11n.•1__L:1cL.�.Y.-_.�_
Department of
Environmental
Quality _— "'�• _
PASSENGER REGISTRATION CARD NEvvpIRATION DATE
FUEL TYPE FARM ID NO. JUN 7 , 2017
PLATE NUMBER TITLE NUMBER GASOLINE
SL76804 1318278106 HWTDATE
STYLE MODEL EHICLE IDENTIFlCATION NUMBER FEE
EAR MAKE 5GTDN136968123047
2006 HUMM 4W U3
TITLE BRANDS $116 -00
EQUIPMENT NO. WEIGHT/LENGTH — NONE }
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DOMETER READING ODOMETER DATE ODOMETER MESSAGE � O
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^HERNANDEZ,
IRIS MARIELA COUNTY OF RESIDENCE COUNTY OF USE
15885 SW STRATFORD LOOP APT A WASHINGTON
TIGARD OR 97224-5994
VALI
TATE,ZIP CODE)
NEW ADDRESS(HOUSE NUMBER,STREET,CITY,S
NEW PLATE NUMBER
— ., BEND PEEL
.,acn ig Dy carefully bending I I
(at arrow) and peeling. 1
'lly sticker over expired
sticker.
until bubbles and y STICKER NUMBER:
;les are removed.
CERTIFICATE NUMBER: 0603 1 50821 1052 FORM NUMBER: 0, 4 ,
i
REMARKS. Bare JCODE
Notice of Transaction
T l
,W LA„'AVENESALEMOEGON9",. Submitted
PLATE CODE TRANS CODE VT 'i ORG %1P atiCCSSS REG IREN FEE
i i�• �IISC TITLE BRAND
VIN FEE
PERMIT# MEMORANDUM RECEIPT# VIN INSPECTION: ❑ DATE/INITIALS: DEALER TRANS PRE CHECKER
LEV COMPLIANT: ❑YES❑NO ❑ LATE TITLE FEE
ONEW PLATE# STICKER# VEHICLE IDENTIFICA,ON NUMBER LVIi`1)1, OREGON TITLE#
REPLACEMENT FEE
P SENT OREGON T EXPIRATION DATE / YEA MAKE S�(LE REG WEIGHT!LENGTH ( 5}p
Of 7— / ) / WSJ GVWR OVER E]YES pLA;TRANSFER
( v ` CJ!� 26,000 LBS. .
No
FA MID FLEET ACCOUNT# EQUIPMENT# GAS ❑DIESEL ❑HYBRID ❑PLUG-IN FLEX-FUEL RAILER OVER Q1 TO
3 HYBRID "AYE
ELECTRIC ❑PROPANE ❑NATURAL ❑OTHER: 000,LBS.
GAS
C D OMETER: Federal and State laws require that you state the mileage when you transfer ownership on a vehicle 9 years old or newer.Failure to complete an odometer disclosure or providing a false
statement to meet this requirement f a Class C felony under ORS 815.430.Use this certification when required to provide the odometer disclosure but unable to provide the proper disclosure from the
Oseller.I certify the odometer disclosure listed is true and correct and a digciosure is not available on the required form from the seller. Providing an odometer reading for a vehicle 10 years old or older is
voluntary.
ODOMETER READING NO TENTHS I certify that,to the best of my knowledge,the odometer reading is actual
( ) DATE OF READING(MM/DDIYYYY) mileage UNLESS one of these boxes is marked:
❑ .the mileage stated is in excess of its mechanical limits(has rolled over);pi•
❑ 16-odometer reading is NOT actual mileage.WARNING-odomeler discrepancy.
Complete Line 5 with the owner whose address will be used for all DMV mail regarding this vehicle. List additional owners oo Lines 8 and 9. (This In noway determines a priority of ownership.) If any cv,ner
listed uses a work address on DMV records,that owner must be shown on Line 5. See reverse for more information.
P TFULL LEGAL NAME:LAST,FIRST,MIDDLE OF(check one) ` OWNER y 0 ❑LESSEE
RESIDENCE/BUSIN S ADDRESS-(Address wiybe use to a your ODL I ID card) M ING ADDRESS(If different from residence-will be used to update your ODIL ID card)
6
O SSS S� c _
TATE,ZIP CODE , COUNTY OF RESIDENCE CITY,STATE,ZIP CODE COUNTY OF MAILING
o7'�,�� L' � ��( y?G / t
OJOINT OWNER OR LESSEE-PRINT FULL LEGAL NAME:LAST,FIRST,MIDDLE(See"Change of Address'on erse
8 V.
OJOINT OWNER OR LESSEE-PRINT FULL LEGAL NAME.LAST,FIRST,MIDDLE(See"Change of Addres c i
9
ONE-TIME MAILING ADDRESS(SII not change your customer record) n VEHICLE ADDRESS-(Location of vehicle if different from residence)
10 ,.
❑Till Only
CITY.STATE,ZIP CODE BothCITY,STATE,ZIP CODE
COUNTY(of vehicle address or use) -
t i
pr. .,wvn.,c...v cnw.cc..wvvmciv r o rrcou vn r n umv""'I nC V CrnIiLC iJ JUtlJtG I 1 U 1 Ht UVVNtH5MIN INTERESTS SPECIFIED.
(85411U S
t' PLATE NUMBER TITLE NUMBER PROCESS DATE I SURVIVOR REFERENCE NUMBER
SL76818 1600534211 010516 N/N
-:YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER EQUIPMENT NO.
\::, K- �
2014 TOYT VA SNA STDXK3DC9ES423033
= OWNER/LESSEE ODOMETER READING ODOMETER DATE _
' 41, 208 12/14/15 ,
ODOMETER MESSAGE
r -
rh 'Brand"printed below indicates the history,
HER_NANDE Z, ASMIN I SRRAEL n,or circumstances of the vehicle for which
has been issued.Pleasesee back of title for
15885 SW STRATFORD LOOP APT A ormation.
TIGARD OR 97224
TOTALED �
RECONSTRUCTED _1
USE THIS SECTION WHEN THE ONLY CHANGE IS TO REMOVE A SECURITY INTEREST. FOR ANY OTHER CHANGES,SEE INSTRUCTIONS ON REVERSE.
' - If there is no change in owners as shown above AND all security SIGNATURE(DOES NOT RELEASE INTERESn DATE
_ interest holders have released interest,one registered owner must X • �.,
sign and date here,if not completing a separate application for title.
In addition,if your address has changed,cross out the old address To release interest in the vehicle, complete
and write the new address and county of residence on the front of the reassignment on back of the title.
the title. Mail the title and the fee to:DMV,1905 Lana Ave NE,Salem OR 97314. ■
SECURITY INTEREST HOLDERYLESSOR
y,`<}
SIGNATURE AND COUNTERSIGNATURE OF SECURITY INTEREST HOLDER OR LESSOR RELEASING ALL INTEREST DATE
X
„'SIGNATURE.AND COUNTERSIGNATURE OF SECURITY INTEREST HOLDER OR LESSOR RELEASING ALL INTEREST DATE
X
SEE REVERSE OF TITLE FOR APPLICATION INSTRUCTIONS.JIJA j \
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- ��- �t.�`i \.\.ice_/���L�-./� `jll��_ ^\.�Jio•'S\�j'���Lt,'*�� '�'*
735-410(5-08) SL76818 STDXK3DC9ES423033 1600534211 C
1085 033 01 V1 T1 07 S8 M1 P5 EO MO 34
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
SL76818 1600534211 010516 JUL 22 , 17 GASOLINE
YEAR MAKE STYLE MODEL I VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
2014 � TOYT � V.A SNA 5TDXK3DC9ES423033
TITLE BRANDS RECONSTRUCTED TOTALED ODOMETER READINGODOMETER DATE
OWNER/ 41, 208 12/14/15
LESSEE GDOMETER MESSAGE
HERNANDEZ, ASMIN ISRRAEL
15885 SW STRATFORD LOOP APT A
TIGARD OR 97224
COUNTY OF COUNTY OF
RESIDENCE USE
NEW WASHINGTON
ADDRESS
City of Tigard,Oregon Page 1 of 1
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Tigcay0frd r �4tj _ � -
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PropertyI Plannincl I Crimes Tt ail spoaation I Utilities I Aerial Photos I EQC
I Summary I Permits I Community I Businesses I Liquor Licenses I Hazards I Plats I Benchmarks I Exotorer I
15885 SW STRATFORD LOOP A, TIGARD
Property Summary
`' t Q N C T*} We
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At
: TRA i FORD LOOP-; co
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dU' H'A fvt-RU EY Di1 R H A M RD
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OwnerProperty
Tax ID Number: 2S111DD05400
Tax Account Number: R510619
Owner: HERNANDEZ,NANCY M
Owner 2: SAMAYOA-SOLARES,FREDDY A
Owner 3: HERNANDEZ,ASMIN I&IRIS M
Owner Address: 15885 SW STRATFORD LOOP
Owner City: TIGARD
Owner State: OR
Owner ZIP: 97224
Acres: 0.24
Sq Ft: 10,454.4
Bldg SF: 1,726
Bldg Value: $148,410
Land Value: $172,950
Total Value: $321,360
Taxable Ass'd Value: $212,760
Sale Price: $o
Sale Date:
Year Built: 1978
City / OR i \
CITY DEPARTMENTS I DIRECTIONS I LOCATION AND HOURS OF OPERATION TIGARD
http://www.tigardmaps.com/mox6 multimap/index.cfin?fuseaction=property.summary 5/24/2017
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