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HomeMy WebLinkAbout6/21/2022 - Complete Packaget L^- roo^Ys o^fEt [nf 7l I L-7 DANIA BEACII sEA |l uvE n [orE |l NA E: ADDRESS: crrY: CITY OF DANIA BEACH APPLICATION FOR BEACH PARKING PERMIT 05+92,r.5800 x3,(|1 Pl.a3e pdnt l.gitty, flll In or clrclr .ll ttem! snre: FL VEHfCLE fNFORI|ATIO{ (No camp..3 perm ,*O, ,7' O- a t/'r-rt ucENsE PLArE *: f t62 V ?U srArE rAG lssuED BY: mxe, F. /f rooer-' 6soRoLDER: *"O*d FL {FL |rJ, ]tY, OU ,-.) "o*, f)u? ..-, kN>EgeAA1M7 lTblLL r' PROOF OF RESIDENCYOW ERSHIPT PLEASE SHOW TO CASH|ER m1}| AUTO*OB|LE RECTSTRATION ONE OF THE FOLLOU'ING: cuRREt{T UTtUTy B|LL SHOW|NG DANA BEACH ADORESS ,/mrea E ELEcrRrc E pHoNE E crele ! vorens aeosrmnon V .a- ^L./ {\" ...\\ ' ':l', PRoPERTY ollrNER: YEs { No E - $' ,rf For Offic. Ure Only: sR[ *e{o"D "a"t,rn, \\Q3 frac rl