VILLAGE OF RIDGEFIELD PARK

234 MAIN STREET
RIDGEFIELD PARK, N.J. 07660 

PARKING PERMIT APPLICATION

DECAL # _____________

NAME : ______________________________________________________________

ADDRESS : ___________________________________________________________

TELEPHONE # : _______________________________________________________

VEHICLE MAKE : _______________ COLOR : ______________ YEAR : ________

REGISTRATION # : _________________________ EXPIRATION : _____________

DRIVERS LICENSE # :__________________________________________________

TYPE OF DWELLING : _________________________________________________

TYPE OF I.D. SUBMITTED : _____________________________________________

 I affirm that the information supplied in this application to be true and accurate

to the best of my knowledge and have not knowingly and with intent to deceive made

false, misleading or fraudulent statements of material fact in the application or in any

document required. 

SIGNATURE : ____________________________________ DATE : _____________