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ST PARKING PERMIT APP - 651 5TH.pdfNov 07 07 03:17p Of EDA40. p.1 EXTENDED ON STREET PARKING PERMIT (For extended use of time -restricted three- hour parking spaces) DATE OF APPLICATION: APPLICANT NAM: APPLICANT MAILING ADDRESS: 5TTI STATE MOVING COMPANY NAME: onej'F�09�40 2L2— OR REASON FOR OCCUPYING THE SPACE, (S): ADDRESS OF ON STREET PARKING: DATE Off' PROPOSED USE: HOURS OF PROPOSED USE: IV) W44 rT tA CC, POLICE: 0 Approve 0 Deny initial Date ENGINEERING: El Approve El Deny Initial Date Page 1