Departmental Premium Parking Permit Application
Department Name: _____________________________ Year
: _2018/2019___
Dept #: __________________
Contact Person: _______________________
Phone ext: _________ Email: ____________________________________
Acceptance and Use of a Parking Permit Acknowledges compliance with the terms and conditions of the
University of Guelph Parking and Traffic Regulations.
Charges will not be processed until an agreed choice of Parking Locations has been determined and the
permit issued. Previously premium permits were a two-part permit, this year we are moving to an one-part
set up.
Permit application will not be processed until the Chair/Dean then your Vice President has authorized using
Department Funding.
Coding
Qty
Fund Unit Grant Project Object Amount Auth
Yes
Auth
No
Reason Requesting Permit (Floater/Departm
ental Van/Visitor Pass):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Vehicle Lic
Plate #
Make
Model Colour
*Departmental Authorization: _____________________________/_________________________________
(Dean/Chair Signature) (Dean/Chair Print)
*VP Authorization: _____________________________________/__________________________________
(Vice President Signature) (Vice President Print Name)
*
Both authorizations required to process this application.
Date: _________________________
UID #: _________________
Lot Assigned: ____________
For Parking Office Use Only:
Date Entered: _____________
Permit #: (P) _____________
click to sign
signature
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signature
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