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Clayton Police Department

6000 Heritage Trail
Clayton, CA 94517
925-673-7350

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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 ONLY

APPLICATION RECEIVED BY __________________DATE _______

PERMIT ISSUED: # _______________ BY ________________

PAYMENT RECEIVED FOR GUEST PERMIT __________________

RCPT # _____________________

DELIVERED __________ DATE ____________ BY ______________

 

 
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