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CITY OF DULUTHCITY CLERKS OFFICE330 City Hall 411 West First StreetDuluth, Minnesota 55802PHONE (218) 730-5500

PERMIT PARKING APPLICATION INFORMATION

1. Parking permits are required for vehicles parked on the street in the vicinities of:

Denfeld Senior High School - Monday-Friday, 8:00 a.m. to 4:00 p.m.,September 1 - June 15.

East Senior High School - Monday-Friday, 8:00 a.m. to 4:00 p.m.,September 1 - June 15.

UMD - Monday-Friday, 8:00 a.m. to 4:00 p.m., September 1 - June 15.

2. A separate application must be filled out for each vehicle.

3. These parking permits are good only for a distance of 500 feet from yourresidence.

4. The fees for regular residential parking permits are as follows:a. Residents Permit (vehicle) . . . . . . . . . . $5.00 ea.b. Regular Visitors Permit (optional) . . . . $2.00 ea.

5. The fee for special visitor parking permits (valid only within one week from thetime that it is issued by the city clerk and for not more than a period of 24hours during such week) is as follows:

a. Special Visitor's Permit . . . . . . . . . . . . . $1.00 ea.

6. A maximum of one regular visitors permit can be issued per application.Regular visitor permits are limited to a maximum of two per dwelling unit.

Mail your application and fee to: City Clerks OfficeResident Parking Permits411 W 1st St, Rm 330Duluth MN 55802

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CITY OF DULUTHCITY CLERKS OFFICE330 City Hall 411 West First StreetDuluth, Minnesota 55802

PHONE (218)730-5500

PERMIT PARKING APPLICATION

GOVERNMENT DATA PRACTICES ACT - CLASSIFICATION WARNING: The data you supply on this form will be used to process

the permit you are applying for. You are not legally required to provide this data, but we will not be able to process the permit withoutit. Pursuant to Minnesota Statutes Section 13.37, subd. 2, all of the data you provide will be classified as private data.

PRINT NAME: _______________________________________________________________________(last) (first) (M.I.)

RESIDENCE ADDRESS: _______________________________________________________________

TELEPHONE NUMBER: __________________________________

PARKING ZONE (check one): Denfeld HS _____ East HS _____ UMD _____

PERMIT(fill in only theSHADED AREASin the table below):

Please note: A separate application is needed for eachvehicle.

Howmany? Unit Price Sub-total

Resident's Permit 1 $5.00 $5.00

Vehicle Make*

Model/Year*

License Plate #*

License State*

Regular Visitors Permit (optional/1 maximum) $2.00

Special Visitor's Permit (see #5 of previous page) $1.00

* Required information TOTAL

I hereby swear that the statements I have made in connection with this application are true to the best of myknowledge. I understand that my permit will be canceled and I will be subject to criminal penalties if I havemade any false statement on this application.

________________ _____________________________________________Date Your signature

For Office Use Only: Zone _____________

1. Resident Permit Number _____________

2. Regular Visitor's Permit Number _____________