citywide appCity of Miami Beach Board & Committee
City Wide Permit Application
DATE OF APPLICATION:
LAST NAME:
NAME OF BOARD/COMMITTEE:
ADDRESS: ///
WORKPHONE: ~)--~-:~,~-~-'~oo HOMEPHONE: ~G' d~ -~-~ ~C~-'0~S~
I V
EHICLE MAKE I VEHICLE MODEL I VEHI~.~Y~R TAG NUMBER
I understand that my Board/Committee City Wide Parking Decal entitles me to park
at any parking meter both on-street and off-street (metered parking lots) while engaging
in the business of the Board/Committee. I further understand that the City Wide
Parking Decal is NOT VALID at attended lots or garagesmEXCEPTION: 17th Street
Garage.
I understand that if the parking decal issued to me is lost and/or stolen, it will not be
replaced until the next renewal period (no exceptions).
Applicant's Signature:
Decal Number Date Issued Expiration Date Parking Director's
Initials
ISSUED BY: DATE:
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