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									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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