4458_001.pdfEXTENDED ON STREET PARKING PERMIT
(For extended use of time -restricted three- hour parking spaces)
DATE OF APPLICATION: c "l / C r
APPLICANT NAME: J v l �_ 01 � It Phone o V
AP.P'LICANT MAILI NG ADDRESS: 'TO " r fps /'I u U- �'] "')_0 °
STATE MOVING COMPANY NAME: k 4, Ll- 00.4d l u -`_ 4 Phone U ® O (,
OR 6 _►`"
REASON FOR OCCUPYING THE SPACE(S):, u
ADDRESS OF ON STREET PARKING: 'Tor ` l V L q U_ t-
DATE OF PROPOSED USE: ! L l 0 t U HOURS OF PROPOSED USE: It
ENGINEERING: 'Approve ❑Deny Date
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