TEMPORARY VISITOR PARKING PERMIT APPLICATION FORM

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    You will need to provide a copy of your Driver’s License showing address in the district.

    * Required

    Annapolis address (residential only) *:   District:

    Is there a driveway, garage or any parking area at this address? 


    Applicant
    First Name *:

    Last Name *:

    Email Address *:

    Confirm Email Address *:


    Driver's License
    State *:   Number *:


    Phone Numbers
    Home:

    Cell:

    Work:


    If you are renting, please enter your lease expiration date:


    Permits

    One Day Pass
       Date: 

    Mulit-Day Pass
       From:  To: 

    10 Pack
       For: 


    Vehicle

    License Plate State *:

    * I hereby certify under the penalties of perjury that :

    1. I am a resident of the above parking district area.
    2. The vehicle listed above does not have any unpaid City parking tickets.
    3. 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.
    4. I acknowledge that the temporary residential parking permit expires on the date or dates selected above.
    5. 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 *:


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    Sorry but you have already purchased the allotted 10 Temporary Permits for this month.

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