Residential Parking Permit Program Application RESIDENTIAL PARKING PERMIT APPLICATION FORM *Required Annapolis address (resident only) District 1 2 3 4 5 Is there a driveway, garage, or any parking area at this address? Yes No Applicant First Name Last Name Email Driver's License State -- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Driver's License ID Number Phone Number Home Cell Work If you are renting, please enter your lease expiration date: Vehicle License Plate State -- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY License Plate Number Year Make Model Color * I hereby certify under the penalties of perjury that : I am a resident of the above parking district area. The vehicle listed above does not have any unpaid City parking tickets. I acknowledge that a temporary residential parking permit does not allow parking at parking meters, redlines, loading zones, handicapped spaces, or in areas prohibited by sign or law. I acknowledge that the temporary residential parking permit expires on the date or dates selected above. I have read this Application and the Temporary Parking Permit Information. My application and supporting documents are true and correct. This application is made for the purpose of obtaining a temporary residential parking permit under the provisions of Chapter 12.32.140 of the Annapolis City Code. Today's Date APPLY
