HomeMy WebLinkAbout10/1/2022 - Complete PackageCITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
95il-92,1.6800 x3401
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DANIA BEACH
SEA II, IIVE IT. LOVE IT-
TODA\^S DATE:
buNft 65 OR OLDER:YES NO
Contact Phone Numbet:
VEHICLE INFORMATION (No camp.rs permltted)
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Rro VIN #:
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CURRENT UTILITY BILL SHOWING DANIA BEACH ADDRESS
WATER ELECTRTC PHONE CABLE VOTER'S REGISTRATION
P RO P ERTY OWNER: YES NO
Foi offico Use only:
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PERMIT
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LICENSE PLATE *:STATE TAG ISSUED BY:
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FLORIDA VEHICLE REGISTRATION
PLA'TE PXWD83 DECAL 04759216 ExPires
co/AGY 10 / 2
idnight Mon 220'2023
Reg- Tax
Init. R€g
Coutrty Fee
Mail lee
Sales Tax
VoluntarY Fees
Grand Total
T# 158611333?B# 5355361
43.10 Class Code .l
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0.?5 Ctedit Class
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JANINA BUCZEL
441 SE 3RD ST APT 206
DANIA, FL 33004'4088
COLOR
TITLE
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Totalduo byOcl15,2022
$44.57
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P0 BOX 742596
cINcINNATI OH 45274-2596
JAN NA BUCZEL
Accou numb€n 958913379
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