HomeMy WebLinkAbout6/15/2022 - ApplicationDan i a B each Park i n g Permi t
Ci t y of Dania B each
Submitte d O n:
June 15, 2022 1:52pm
Amer ica/New_Yo r k
F irs t Na me Adam
La s t Na me Dr ucker
E ma il joha nnalucas @ comcas t.net
Full Addre s s 605 NE 2nd Place
Dania B each
FL
33004
Lic e ns e Pla te #IS J A66
Sta te / Pro vinc e :FL
Ma ke Infinity
Mo de l QX60
C o lo r White
VIN #5N1DL0MM9HC 530494
Pro o f o f Re s ide nc y https ://s eam .ly/3S Kwm 7MW
Dania beach bill.jpg
Ve hic le Re gis tra tio n https ://s eam .ly/eB 4VcVno
Vehicle r egis tr atio n.jpg
Pro o f o f Ide ntific a tio n https ://s eam .ly/T 9oejNAw
Adam dr iver licens e .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: Ada m
Las t Nam e: Dr ucker
Em ail Addr es s : joha nnalucas @ comcas t.net
S igned at: June 15, 2022 1:55pm Am e r ica/New_Yor k