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APPLICATION FOR A RESIDENTS PARKING PERMIT – KILDARE TOWN

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APPLICATION FOR A RESIDENTS PARKING PERMIT – KILDARE TOWN Powered By Docstoc
					Kildare County Council




                                                      Transportation and Public
                                                               Safety

                                                           Ph:045 980421
                                                          Fax: 045 980420




APPLICATION FOR A RESIDENT’S PARKING PERMIT – KILDARE TOWN

PLEASE ANSWER ALL QUESTIONS AND SEE CONDITIONS ON BACK OF THIS FORM .




Surname (Block Capitals): ___________________________________________________



First name/s (Block Capitals): ________________________________________________


Telephone (Home):__________________________ (Work): ________________________


Address (Block Capitals):____________________________________________________

         _________________________________________________________________




Is the above address your normal place of residence?………………… YES                   NO




Is this a rented property?…………………………………………………….. YES                              NO



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Kildare County Council




Name and Address of Landlord: _____________________________________________


_________________________________________________________________________



Phone Number of Landlord: ________________________________________________



How long have you resided at the above address?_______ months ______ years


Vehicle Make/Model: _________________ Registration No: ___________________

I declare that the particulars in this application are true.

Applicant’s Signature: _________________________ Date: ___________________

The fee for a Resident’s Parking Permit, which must accompany this application, is €5.00 for
one year. Cheques/Postal Orders, etc. should be made payable to Kildare County Council.
We also accept Visa and Master cards. Do not forward cash by post.

INSERT CREDIT CARD NUMBER BELOW:




EXPIRY
DATE:                                         LASER CARD          _________
                                              VISA/ MASTER CARD   _________




                                          PLEASE NOTE:

                    INCOMPLETE APPLICATIONS WILL BE RETURNED.


  THE RENEWAL OF A PERMIT IS THE RESPONSIBILITY OF THE PERMIT HOLDER.

     A PERMIT IS ONLY VALID FOR THE VEHICLE AND THE PERMIT PARKING
                    STREET/S INDICATED ON THE PERMIT.

   IF YOU MOVE FROM THE ABOVE ADDRESS OR IF YOU DISPOSE OF YOUR
VEHICLE, YOUR PERMIT IS NO LONGER VALID AND MUST BE RETURNED TO THIS
                         OFFICE IMMEDIATELY.


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Kildare County Council


                                   IMPORTANT CHECK LIST



WITH THIS APPLICATION YOU MUST

1. Supply to this office current documentary evidence of residence to support your
    application - a Utility Bill (Eircom, ESB, Bord Gais, Cable TV, Satellite TV, Credit Card,
    Refuse Account only)



2. Lease Agreement if Applicable (i.e. Rental Accommodation)



3. Supply a photocopy of the current insurance certificate for the vehicle indicating your
    name, address and car registration.



4. Supply a photocopy of your current driving licence.



5. If the car is registered in the name of a company you must also supply:

   A letter from the company stating that you are employed by them, your address, the car
    registration and that you have habitual use of the vehicle

   AND supply any other information requested by Kildare County Council.



Return the completed application form to ‘Transportation Section,

Kildare County Council, Aras Chill Dara, Devoy Park, Naas, Co. Kildare.




                    Restrictions on the issue of Residential Parking Permits.

   Residents of Purpose Built Apartment Blocks are not eligible for permits.

   Compliance with the above does not automatically entitle you to a parking permit.


    REMEMBER TO SHOW CONSIDERATION TOWARDS OTHER DRIVERS WHEN
                      PARKING YOUR VEHICLE.
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