PERMIT APPLICATION
1 PERMIT APPLICATION FORT CHRISTIAN MONTHLY PARKING TAG APPLICATION Today’s Date: __________________________ REQUIRED INFORMATION Name: __________________________________________________________ Business Name: __________________________________________________ Mailing Address: _________________________________________________ E-mail Address: __________________________________________________ Primary Contact Number: (_______) _________ - _____________ Vehicle License Plate: __________________________________________________ DEPARTMENTAL USE ONLY Assigned Tag #: ___________________ Pricing per tag: • $100.00/month for government agency or employee • $160.00/month for individuals • $250.00 for damaged or replacement tags Receipt #: ______________________ ___________________ _____________________ Parking Lot Manager Date Payment is due on the 1st of every month with a five-day grace period. SIGN
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1 PERMIT APPLICATION FORT CHRISTIAN MONTHLY PARKING TAG APPLICATION Today’s Date: __________________________ REQUIRED INFORMATION Name: __________________________________________________________ Business Name: __________________________________________________ Mailing Address: _________________________________________________ E-mail Address: __________________________________________________ Primary Contact Number: (_______) _________ - _____________ Vehicle License Plate: __________________________________________________ DEPARTMENTAL USE ONLY Assigned Tag #: ___________________ Pricing per tag: • $100.00/month for government agency or employee • $160.00/month for individuals • $250.00 for damaged or replacement tags Receipt #: ______________________ ___________________ _____________________ Parking Lot Manager Date Payment is due on the 1st of every month with a five-day grace period. SIGN