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Rubidoux Parking Permit Application
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This form has been modified since it was saved. Please review all fields before submitting.
First Name
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Last Name
*
Enter your last name.
Street Address
*
Enter full street address, street number and street name only. City and zip code are not required.
Phone Number
*
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Email Address
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Tenant or Owner of Property?
Owner of the Property
Tenant
Please specify if you are the tenant or owner of the property.
How Do You Want to Receive Your Parking Permits?
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I Will Pick Them Up From City Hall During Business Hours
Mail Them
Mailing Address
Please enter the mailing address at which you would like to receive your parking permits.
By Selecting Yes, You Acknowledge That You Are Familiar With The Parking Permit Program Rules
Yes
No
Parking permits may not be sold, transferred, loaned, or borrowed, to other residences, other residents, or visitors to the neighborhood. Permit placards must be displayed at all times when parking in areas subject to the parking permit program. Any violation of these rules may result in a revocation of parking permit passes and further legal action.
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