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Permit No.

APPLICATION FOR DOCTORS’ PARKING PERMITS

Name: Name of Practice: Vehicle Licence Number: Location of Practice in Hamilton: (Building Name, Street Name/Number, Postal Code)

Mailing Address: Tel.

Fax:

Email:

Requirement

Submit application with a cover letter detailing valid justification for the bay request

Signed: Print Name: Date of Application:

FOR CORPORATION USE ONLY Permit Issued:____________________________________________________________________ Date Permit # Valid From: To: Paid: Amount

Receipt #

Issued by: _________________________________________________________________


http://hamilton.arvinsingla.com/sites/default/files/forms/doctors-parking-application-form-2011