Incorporated                                                                               OFFICE USE ONLY
                                 Village of Floral Park, NY
                                                         Parking License #..........................................
                                                         APPLICATION FOR RESIDENT PARKING LICENSE ONLY                                          
Date of Issue...................................................
                                                                                
OVERNIGHT PARKING                                                                    Expires.................................................................

LICENSE FEE - $300.00 ANNUALLY

To the Clerk of the Village of Floral Park:
The undersigned, who resides within the corporate limits of the 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 the Spooner Parking Field, Magnolia Field, Tyson Field, or Holland Avenue Parking Field WHEN SPACE THEREIN IS AVAILABLE:

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

2. Street 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 $ 300.00 in payment of the Annual License Fee. Submit proof of residency with application.

...........................................................................................................................................................................Signature of Owner

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                                                          Incorporated Village of Floral Park, NY
(DUPLICATE)
                                                                                                                          
OVERNIGHT PARKING

Parking License No. ..........................................................Date of Issue ................................................ EXPIRES....................................................................
                                                                                                                                   (Do not write in above spaces)

A License pursuant to Chapter 96, Article XIV of Village Ordinance is hereby granted to:

Print Name ................................................................................................ Address ..............................................................................Village of Floral Park, NY to park the following described motor vehicle in the Spooner Parking Field, Magnolia Field, Tyson Field, or Holland Avenue Parking Field 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.
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                                         Incorporated Village of Floral Park, NY
(DUPLICATE)
                                                                                                                        
OVERNIGHT PARKING

Parking License No. ..........................................................Date of Issue ................................................ EXPIRES...................................................................
                                                                                                                                    (Do not write in above spaces)

A License pursuant to Chapter 96, Article XIV of Village Ordinance is hereby granted to:

Print Name ................................................................................................ Address ..............................................................................Village of Floral Park, NY to park the following described motor vehicle in the Spooner Parking Field, Magnolia Field, Tyson Field, or Holland Avenue Parking Field 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.