HomeMy WebLinkAbout7/21/2022 - ApplicationDan i a B each Park i n g Permi t
Ci t y of Dania B each
Submitte d O n:
July 21, 2022 1:18pm
Amer ica/New_Yo r k
F irs t Na me Denis e
La s t Na me P er ez
E ma il dp@ 428healthca r e .com
Full Addre s s 1021 S E 7th Avenue # 304
Dania B each
FL
33004
Lic e ns e Pla te #X40Z K
Sta te / Pro vinc e :FL
Ma ke 2018
Mo de l X1
C o lo r White
VIN #WB XHT3C 33J5L32913
Pro o f o f Re s ide nc y https ://s eam .ly/hr 3NiYou
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Ve hic le Re gis tra tio n https ://s eam .ly/S P nnd8RY
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Pro o f o f Ide ntific a tio n https ://s eam .ly/Y 1bkionu
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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: Denis e
Las t Nam e: Pe r e z
Em ail Addr es s : dp@ 428healthca r e .com
S igned at: July 21, 2022 1:17pm Am er ica/Ne w_Yor k