2020 LOADING ZONE PERMIT
COMMERCIAL DELIVERY VEHICLE
FIRM NAME: _________________________________________________________________
BUSINESS ADDRESS: ___________________________________________________________
CITY - GENERAL
BUSINESS LICENSE: ____________________
PRIMARY DELIVERY
PRODUCT: __________________________________________________________________
AVERAGE WEIGHT
OF PRODUCT: ___________________________
I hereby certify that the vehicles listed on the reverse side of this application are used for the sole
purpose of commercial deliveries. I further understand that the purpose of loading zones is for the
loading and unloading of goods only and that there is a 20-minute limit on the use of the loading
zone. A fee of $43 for the first vehicle and $21 for subsequent vehicles in the same firm is required.
I also understand that sustained violations of this provision will result in the suspension of the
permit.
______________________________
Signature Title
______________________________
Phone Number Date
Please complete the reverse side of this application. No permits will be issued without license plate
numbers.
DATE
ISSUED
PERMIT
NUMBER
VEHICLE
MAKE
VEHICLE
LICENSE
DATE
VOIDED
REISSUED
PERMIT #