HomeMy WebLinkAbout9/20/2022 - Complete PackageDANIA BFACH
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TODAYS DATE:
CITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
954-92,4{800 r34ol
Ploaso pdnt lo0ibly, till In or circl. .ll item3
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VEHICLE INFORflATPN (tto camperr permittod)
LTGENSEPLATE*: t A+.{-zfl STATE TAG ISSUEO BY:
(TAG I'lFr" J, xY, ou.-.)
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PROOF OF RESIDENCYTOW ERSHIP: PLEASE SHOIY TO CASHIER u,|TH AUTOIOBIIE REGISTRATON ONE
OF THE FOLLOUNG:
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cURRENT UfiLTTY BILL SHOWING DANIA BEACH ADDRESS
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PROPERTY OvlrNER: YES [Z xo D
For Oflica U3. Only:*ffi RGr os!
,r *nr, 75
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SEA IT.
LIVE IT.
LOVE IT.
CITY OF DANIA BEACH
1OO W DANIA BEACH BOUIfVARD
DANIA BEACH, FL 33004
UTILITY STATEMENT ENCTOSED
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377 I AV 0.455
WALT ECKERT JR
214 SE 3RD ST
DANIA BEACH FL 33004.4010
Fof papedess
ebillin& change of
addres, or
automatic
banldraft, sce
backofcoupon.
Pleale do not send cash throlgh the mail or drop tlox. We are not
responsible fu.lost cash. Make checks gavable to:
ATTN: City of Dania Beach Lockbox # 919289
P. O. Box 919789
Orlando, FL 32891-0001
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FLORIDA VEHICLE REGISTRATION
PLATE I!4IIZP DECAL 1328975i
YRA4K 2019/TOYI BODY PKvIN 5IFAXSGI|3KXi 5a56r
Platc Typc RGR NET WT /OgE
Dr-/FErD E2639t0533220
Date Issued 7r:1612022 plarc Iseued 8,3,2018
co/AcY l0 /2
Mldnight Sat 9/2/2023Expir€s
COI,OR
TITLE
wHl
139?0a29a
Rcg. Tax
Itrit. Rcg.
Coutrty Fce
Mail Fee
Salcs Tax
Vohutlry Fees
1681425509
54t8472
43.10 Cl&rs Code
Tax Modhs
3.00 Back Tsx Mos
0.E5 Crcdit Class
Crcdit MoDths
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B#
12