Clayton Police Department
6000 Heritage Trail
Clayton, CA 94517
925-673-7350
RV ON-STREET PARKING PERMIT
APPLICATION
* CLAYTON POLICE DEPARTMENT *
PERMIT TYPE: ______GUEST ($25) ______RESIDENT ($0)
NAME ________________________________________________________
PHONE NUMBER (HOME) ________________ (CELL) _________________
LOCATION RV TO BE PARKED ____________________________________ __________________________________________________________________
DATES (72 HOURS PRIOR TO BEGINNING OF TRIP) ______________________ TO _____________________
DATES (72 HOURS AFTER TRIP)
______________________ TO _____________________
EMERGENCY CONTACT PHONE NUMBER _________________________
LICENSE PLATE __________________
WOULD YOU LIKE TO:□ PICK UP PERMIT
□ HAVE PERMIT MAILED (U.S. MAIL)
□ HAVE PERMIT E-MAILED EMAIL ADDRESS ___________________________________________
FOR OFFICE USE ONLYAPPLICATION RECEIVED BY __________________DATE _______
PERMIT ISSUED: # _______________ BY ________________
PAYMENT RECEIVED FOR GUEST PERMIT __________________
RCPT # _____________________
DELIVERED __________ DATE ____________ BY ______________
