BOROUGH OF ENGLISHTOWN

HAMILTON STREET PARKING LOT

APPLICATION

 

 

 

 

 

PURSUANT TO CODE 2.93.11

 

Date:                                       

 

Name:                                                                                                                                     

 

Home Phone No:                                                Alternate No:                                     

 

Address:                                                                                                                                  

 

New Jersey Drivers License No:                       ____________ Expiration Date:                      

 

New Jersey Vehicle Registration No:___________________Expiration Date:                         

             

License Plate No.                                                      

 

                                                                                  

 

 

I _________________________ shall abide by all the rules and regulations set forth in Chapter 2.93 Article II of the Borough of Englishtown Code Book.

 

                                                                                                                                               

                                                                                                                                        Date

 

OFFICIAL USE ONLY

 

 

Payment:          Date Received:                                     Cash             Check                  

 

 

Permit Information:  Date Issued:                         Permit No.                   Space No.                 

 

 

                                                          

Attested Municipal Clerk                      Date