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HomeMy WebLinkAboutDaniel BerbeciCITY OF DANIA BEACH APPLICATION FOR BEACH PARKING PERMIT 95+92114800 r3,o1 Pleasa print logabty, till in or circle all ltems DANIA BEACH s€a tT. Lt!€ t r, lovE lT. TODAY.S OATEI no*r, ?an r e/ R er /" e c i B'oR.LDER: "." (Q) ?^' NE 2"q E/ar( "ror.,. FL o", 33oo 9 ,^"r)- b e t b t z i 555 € g LtliLltrcontactPhone Number: q.<4 - E ?? g' fu P, VEHICLE INFORI|ATION {No cempete permltte.l) LICENSE PLATE #: STATE TAG ISSUED BY: -36'BiL!-h)N"on" ,L -*oo, H oaa(a ruooer-, ,Lt KV srvr:, t, "o,-o*, \rlnife u,"n, I e t Rtt dHsp NMT? )ol L7 PRooFoFRES|DENCY,oWNERSH|P:PLEASEsHowTocAsHlERw|THAulolr|oB|LEREG|STRATIoNoNEoFlHEFoLLolryNG: For Oftlce Use onlyi ,o" (h uon *") "*)suvYnx t sw uPl cv) bJ4 CURRENT UTILITY SILL SHOWNG DANIA BEACH WATER ELECTRIC PHONE CAB P ROP E RTY OWNER: VOTER'S REGISTRATI IL!> youRplEcri.rc'.rui,/tBsR a uv€'o,rsunrdtno'r'cro''r so02 ,^rJ;#1"[Xr?iilf;ll?:;tj:}jl?:'^i]ff??##tttiMr*w*x- i:-ryry ###6ffi. ['r?iffi1..* Mar,1u1e6e h MUNICIPALIIY /1 H1fff|, TfrT#f: '"'"''',"',o. , - lfo u , - "T T,llr'^, I Date lssued: 8osr2022o[ supe]visor ot Erscrions t _:H$"'frHf* TfrTFtr ;C"ffit i oare,ssuea:sos,2ozz 1uffi- o' DE lrvsc*rPcldN REGISTRATIONI NO' co/AGY totu T# 105736013 B# FLORIDA VEHICLE REGISTRATION PI.ATE 36BHWT{DECAL 06104765 Expires f,ldnlght on 03rlg:1023 YR,/I\{K. A]n2/HONO BODY UTvrN 3CZRU6H5E{I7{II0i4PhtclYF RGS NETWT 31?t DLIFEID B6l2l6060ot!0 Dslo Bru.d 0zlgr:1022 Phtc l!$rd . ozlg:m:Zl OATIIEL BERBECIzn'IEmDn- OAl,aLA BEACH. FL 3ilolta REs.Td 83.60 Chss Code hitRrg" 225.(x) Ter Moofn Cqdy Fce 3.0O BeL Ttr Mo6 Mril F.c Chdit Cl'.aeSalcrTt Crrdit ItortD!. Voltt!tuy Fecs Gred Tot l 311.50 IMFORTA.I{T INFORMATION @lrOR TITLB wHl l45Zel9tZ I I . Th. Florid. li:.!ta pldc Er|!i r8h with lb. rrdird ryo6 !.b of vdiclc Z Th. rcgidrdiG md bc rrdivqld to r Trr Colcdd d T.g Atat f( ttE!ftr l!rtEplmt vlhiclc- 3. Yourcdincioo E|n bc rpddEd !o y('rr nlp rddrE s {ittitr 30 da,s ofnovi!& ,1. R.rgi'tsaih ft!.r.!r sr ttc rleGsibiliry of 6. lEgid.lt !trd .h!n occ|r 6|Iiu8 6.3O&y Fi{rdFi6 to lbc.ryiratior d& sho*n otr ttil r!gis&di@- R.ocwal nolicca .rc Foyidcd rr a courtcar/ |nd ara mt Equirrd f6 llocsal F{po66. 5. I ndlrtiod 6!r ry &iv.r lio.!* sd rEdrhtioo! eill bo e&.od.d itocdildy if tbc iortr doi.. 6c ilrl[rE bforD.dirn sbdiucd br ttis rwirtdion- t , RGS - SUNSHO{E SIAIE PLAIE FSUEITX,