HomeMy WebLinkAbout6/23/2022 - ApplicationDan i a B each Park i n g Permi t
Ci t y of Dania B each
Submitte d O n:
June 23, 2022 12:23pm
Amer ica/New_Yo r k
F irs t Na me Judy
La s t Na me Er icks o n
E ma il er icks o nfa mily1@ hotma il.com
Full Addre s s 5012 S o uth Ha r bor Is les Dr ive
Dania B each
FL
33312
Lic e ns e Pla te #03B NWN
Sta te / Pro vinc e :Flor ida
Ma ke Nis s an
Mo de l Altima
C o lo r Dar k G r ay
VIN #1N4B L4DV0NN333795
Pro o f o f Re s ide nc y https ://s eam .ly/Of34O 1G N
FP L_Judy Er icks on.pdf
Ve hic le Re gis tra tio n https ://s eam .ly/jjC S ubMX
Vehicle Regis tr a tion Judy Er icks on.jpg
Pro o f o f Ide ntific a tio n https ://s eam .ly/G KT7FRFb
FL Dr iver s Lice ns e Judy Er icks on.jpg
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: Judy
Las t Nam e: Er icks on
Em ail Addr es s : er icks o nfa mily1@ hotma il.com
S igned at: June 23, 2022 12:22pm Am er ica/Ne w_Yor k