Incorporated                                                                                OFFICE USE ONLY
                                  Village of Floral Park, NY                                                           Parking License #...............................................................
                                           APPLICATION FOR CENTENNIAL HALL PARKING LICENSE ONLY                                     Date of Issue...............................................................
                                                      RESIDENTS ONLY       LICENSE FEE - $175.00 Quarterly                     Expires.................................................................................


To the Clerk of the Village of Floral Park:
The undersigned, who resides within the limits of the Inc. Village of Floral Park, at the address set forth below, and who is the owner of the motor vehicle hereinafter described, hereby makes application for a license to park such motor vehicle in designated parking spaces WHEN SPACE THEREIN AS AVAILABLE:

1. Print Name ............................................................................................................................................................................................................................................................................

2. Address .....................................................................................................................................................................................................................................Village of Floral Park, NY.

3. Make of Car .......................................................................................4. Type of Car .......................................................................................................................................................

 5. License Plate # ...................................................................................................................................................................................................................................................................

I agree that the Incorporated Village of Floral Park shall not be liable for any loss of or damage to the above described motor vehicle or its equipment, occurring while such motor vehicle is parked in any licensed parking area in said Village. Issuance of a permit does not guarantee a parking spot. All permits issued are non-refundable.  The parking license tag issued herewith must be securely attached to the rear left bumper of the licensed car. It is understood that the permit is void if attached to any other vehicle. Enclosed is $175.00 in payment of the Quarterly License Fee

..............................................................................................................................................................................................Signature of Owner
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                                  Incorporated Village of Floral Park, NY (DUPLICATE)
                                                                                 CENTENNIAL HALL PARKING LICENSE ONLY - RESIDENTS ONLY

Office Use Only:
Parking License No. ..........................................................Date of Issue ................................................ EXPIRES....................................................................
________________________________________________________________________________________________________________________________________
A License is hereby granted to:

Print Name ................................................................................................ Address ....................................................................................................................Village of Floral Park, NY

to park the following described motor vehicle in designated parking spaces WHEN SPACE THEREIN IS AVAILABLE:

1. Make of Car ...............................................................2. Type of Car ........................................................................3. License Plate #.............................................................

The Village assumes no responsibility for loss of or damage to the above described motor vehicle or its equipment while the same is parked in a licensed parking area. Issuance of a permit does not guarantee a parking spot. All permits issued are non-refundable. The parking license tag issued herewith must be securely attached to the rear left bumper of the licensed car. It is understood that the permit is void if attached to any other vehicle.

..................................................................................................................... Village Clerk

NOT VALID UNTIL DATED, NUMBERED AND SIGNED BY VILLAGE CLERK, NOT ASSIGNABLE WITHOUT THE APPROVAL OF THE BOARD OF TRUSTEES.
-------------------------------------------------------------------------------------------------------------------                                   
                                          Incorporated Village of Floral Park, NY (DUPLICATE)                                                                                 
                                                                               CENTENNIAL HALL PARKING LICENSE ONLY - RESIDENTS ONLY

Office Use Only:
Parking License No. ..........................................................Date of Issue ................................................ EXPIRES....................................................................
____________________________________________________________________________________________________________________________________
A License is hereby granted to:

Print Name ................................................................................................ Address ....................................................................................................................Village of Floral Park, NY

to park the following described motor vehicle in designated parking spaces WHEN SPACE THEREIN IS AVAILABLE:

1. Make of Car ...............................................................2. Type of Car ........................................................................3. License Plate #.............................................................

The Village assumes no responsibility for loss of or damage to the above described motor vehicle or its equipment while the same is parked in a licensed parking area. Issuance of a permit does not guarantee a parking spot. All permits issued are non-refundable. The parking license tag issued herewith must be securely attached to the rear left bumper of the licensed car. It is understood that the permit is void if attached to any other vehicle.

..................................................................................................................... Village Clerk

NOT VALID UNTIL DATED, NUMBERED AND SIGNED BY VILLAGE CLERK, NOT ASSIGNABLE WITHOUT THE APPROVAL OF THE BOARD OF TRUSTEES.