Residential Permit Application

Website: www.SacPark.org Phone: 916-264-5011

Phone Number

I am a:

Property Owner

Tenant

Business Owner (only eligible for virtual vehicle permit)

Are you living at this property or renting it out?

I am living at this property.

I am renting this property out.

Are you applying for a new permit or renewing a permit?

New Permit (including new vehicle for applicant with existing permit)

Renew Permit

Please identify the permit type you're applying for.

Virtual Vehicle Permit (vehicle license plate is the permit)

Visitor Permit Placard

Temporary Permit

CURRENT DMV REGISTRATION: Scan or photo of registration reflecting my name and address where the permit will be registered. RENEWAL NOTICES OR INSURANCE ID CARDS ARE NOT ACCEPTED.

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I have a DMV registration for another vehicle.

Yes

CURRENT DMV REGISTRATION: Scan or photo of registration reflecting my name and address where the permit will be registered. RENEWAL NOTICES OR INSURANCE ID CARDS ARE NOT ACCEPTED. One sticker issued for each valid DMV registration copy submitted.

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I have a DMV registration for another vehicle.

Yes

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I have a DMV registration for another vehicle.

Yes

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I have a DMV registration for another vehicle.

Yes

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If you need to submit more DMV registration, then please submit another form.

PROOF OF RESIDENCY: Scan or photo of a utility bill, phone bill, cable bill, bank statement, or insurance declaration page, issued within the last 45 days, reflecting resident’s name and address where the permit will be registered. Property owners may submit a copy of the current tax statement.

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Scan or photo of driver's license.

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Scan or photo of residency or current lease agreement.

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I have attached the required documents and understand that information is subject to verification.

List names of additional household members/roommates:

Reason for request:

Would you like a Visitor Permit Placard (one per household, except two per household in areas C, L, and R) ?

Yes

I have read and agree to these terms and conditions.

It is a violation of the Sacramento City Code (SCC) 10.48.150 to allow use of a permit for commuter parking. I declare that the information on this application is true and correct. I also acknowledge that failure to properly display these permits may result in the issuance of a valid citation and that it is my responsibility to inform all members of my household and visitors on the correct use of my permits. I declare that I have read and understand the penalty provisions under Sacramento City Code 10.48.150 which provides, in part, that permits are not transferable and it is a violation to sell, transfer, exchange or produce copies of these permits. It is also a violation of SCC 10.48.150 (D) to use these permits to park more than 3 city blocks from the registered permit address.

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Last Name

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