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EXTENDED ON STREET PARKING PERMIT
(For extended use of time -restricted three- hour parking spaces)
DATE OF' APPLICATION.- 7-, hoC7
APPLICANT NAME:'r ZtLall W Phone
APPLICANT MAILING ADDRESS:
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STATE MOVING COMPANY NAME: Phone
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REASON F OR OCCUPYINGTHE SPACE(S)- t4 6 (_J
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ADDRESS OF ON STREET PARKING:
�42. Xt, - I 2A
DATE OF PROPOSED USE: 2L HOURS OF PROPOSED USE:
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POLICE: 4 Approve,
ENGINEERING: fS.Approve
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