HomeMy WebLinkAbout6/9/2022 - ApplicationDan i a B each Park i n g Permi t
Ci t y of Dania B each
Submitte d O n:
June 9, 2022 1:23pm
Amer ica/New_Yo r k
F irs t Na me lour des
La s t Na me delgado
E ma il lde lgado 1165@ gma il.com
Full Addre s s 1436 NAUTILUS IS LE
Dania B each
FL
33004
Lic e ns e Pla te #LCME12
Sta te / Pro vinc e :FL
Ma ke MERC EDES
Mo de l E-350
C o lo r S ILVER G REY
VIN #WDDHF5G B 7B A435445
Pro o f o f Re s ide nc y https ://s eam .ly/5AlfC O zO
utility bill.pdf
Ve hic le Re gis tra tio n https ://s eam .ly/ykr N8ji3
m y r egis tr a tion.pdf
Pro o f o f Ide ntific a tio n https ://s eam .ly/nm s 58G vH
dr iver licens e .pdf
Pe rmit F e e s City r es idents under age 65 ($48.15 per ye ar )
Pe rmit F e e s To ta l $48.15
Se le c t me tho d o f de live ry o f
pe rmit:
Mail to hom e a ddr es s
Signa ture Da ta Fir s t Nam e: lour des
Las t Nam e: de lgado
Em ail Addr es s : lde lgado 1165@ gma il.com
S igned at: June 9, 2022 1:22pm Ame r ica/New_Yo r k