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C <br />Ll~ ~., <br />River <br />Police Department <br />BUSINESS PARKING PERMIT APPLICATION <br />Please complete this form and return same to the police department as soon as possible. A <br />quarterly fee of $10 per month ($30.00) must be returned with the permit before it will be <br />issued. Only one permit will be issued per business on the initial round with additional permits <br />being issued during subsequent rounds until 110 permits are issued each quarter. To help us <br />determine how many permits your business needs, please mark on this form if this was the first <br />time you have completed this form. (Initial Issue) or if this a secondary request from the City. <br />(Secondary Rounds) Note as well-if the number of permits ideally you would like to have your <br />business location. <br />All employee parking shall occur in the designated western section of the King Avenue lot-in the <br />signed "Employee Parking" areas. Report lost or missing permits as soon as possible. <br />BUSINESS NAME: <br />ADDRESS: <br />PARKING QUARTER: July-Sept 2007 <br />INITIAL ISSUE: SECONDARY ROUND(S): <br />NUMBER OF PERMITS DESIRED: <br />Permit T e Em to ee <br />Permit Number <br />New or Reissue <br />First Name <br />Middle Name <br />Last Name <br />Home Phone <br />Address <br />A t. # <br />Cit <br />Zi <br />T e of Vehicle Car Van truck <br />Vehicle Year <br />Make <br />Model <br />Color <br />License Plate Number <br />Year of late <br />State of issuance <br />Business Name <br />Parking regulations will be enforced 7:00 a.m., until 6:00 p.m. Monday through Friday <br />and on weekends as needed. Employees who have concerns about parking regulations <br />should contact the Elk River Police Department at 635-1260. <br />Paid: Amount: <br />Date: <br />