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2. First and Last Name
3. Address
4. Phone
6. Verification of address

   1. Electric Utility Bill
   2. Driver's License
   3. Other
7. If other:
8. Annual Resident Permit
   -- Select One --Total Permits (Maximum of 3)Total Amount ($5 Each)
9. Guest Permit (Hang Tag)
   -- Select One --Total Permits (Maximum of 2)Total Amount ($5 Each)
11. Vehicle(s)
13. License Plate Number
14. Make
15. Model
17. License Plate Number
18. Make
19. Model
21. License Plate Number
22. Make
23. Model
25. Permits Issued

27. Any alteration, unauthorized copy, forgery or misrepresentation an any application, form, petition, sticker or permit constitutes a misdemeanor offense and is subject to the penalty provided in section 1.015 of the San Marcos City Code upon conviction of the person committing such offense. Any permit issued under this section shall not guarantee or reserve to the holder a parking space. A parking permit is non-transferable. A parking permit shall not authorize the holder to cause to stand or park a vehicle at such places where parking is prohibited or during such times as when stopping, standing, or parking of vehicles is not set aside for specified types of vehicles, nor exempt the holder from observance of any traffic regulation other that the specified parking restrictions. A parking permit confers a privilege only, subject to revocation consistent with residential parking program guidelines at any time.

29. Signature
31. Account Code
32. Date
33. Preferred Payment Method
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

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