Oakwood Public Safety Department
Resident Parking Permit Application
(Please complete a separate application for each vehicle / permit requested)
RESIDENT INFORMATION
APPLICATION DATE:
NAME:
(Last, First, M.I. – Must be registered owner of vehicle)
ADDRESS:
TELEPHONE:
VEHICLE INFORMATION
LICENSE PLATE:
State:
YEAR:
Make:
Model:
VEHICLE COLOR:
I certify that the information contained in this application is true and correct, and that I have received a copy of the Safety Department’s Parking Permit Policy.
I understand that issued parking permits are only valid in the block of my residence.
Signature
For Safety Department Use Only
ID / Residency Proof:
OH DL/ID #
Other:
Attach vehicle registration printout.
Paid by:
Cash
Check
Permit number Issued:
By:
Date: