New Renewal Permit # ______________ Date: ________________ Check # ______________ 2012 Fee Paid: _____________ Temporary Permit Application South Orange Parking Authority (973) 378-7715 X-2037 Name: Signature: I certify all information submitted is true and correct Address: Home Phone: _________________ ____________________________________ Work Phone: _________________ Email: Cell Phone: __________________ (Please Include E-Mail Address) Days Requested:______________________________________________________________ MAKE OF VEHICLE MODEL COLOR YEAR PLATE # DAILY FEE: $3.00 per Day – Limit of Three (3) per Month Payment may be made by cash, check, or credit card (in-office swipe only). Required Documents: Proof of Residency: A current utility bill in your name and address. Vehicle Information: A vehicle registration. Leased vehicles must also have insurance card. Photo ID: A valid driver’s license with photo. NOTE: THESE PERMITS ARE VALID IN ALL LOTS EXCEPT THE NEW JERSEY TRANSIT LOT AND ALL METERS Any violation or abuse of these permits will result in tickets and the permit being revoked. Vehicle will be ticketed if permit is not properly displayed on the left side rear windshield. South Orange Parking Authority office hours are Monday through Friday, 8:30 a.m. to 4:30 p.m.
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