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2. This form allows a resident to submit a request for special consideration by the Chief of Police for a parking placard in situations where one cannot be issued otherwise by ordinance. This is not the form for a resident to apply for their annual parking permit or resident placard. Apply for your annual parking permit or resident placard.

4. Name*
5. Email*
7. Telephone*
8. Address*
10. Dates To & From*
    Dates To & From Start Date

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    Dates To & From End Date
12. Vehicle
14. State*
15. Registration Number*
17. Make*
18. Model*
19. Color*
21. Reason for Consideration*
23. Confirmation*

    1. I understand that this form does not submit an application for an annual resident parking permit or visitor placard and any questions regarding an order for a resident parking permit or visitor placard contained within may not be answered.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field