CITY OF LONG BEACH
DEPARTMENT OF FINANCIAL MANAGEMENT
411 WEST OCEAN BOULEVARD, LOBBY • LONG BEACH, CALIFORNIA 90802 • (562) 570-6822
PARKING CITATION SECTION
PREFERENTIAL PARKING PERMIT APPLICATION
Name:
A
d
d
r
ess:
Telephone: (
) E-Mail:
Prorated Permit Fee Structure
Application Date: January - March
$33.75
April - June
$25.75
July - September
$17.75
October - December $9.75
Type and Number of Permits
:
Resident Permit (Limit 3):
Guest Permit (Limit 1): Total Permit(s):
Amount Enc
l
osed: $
Enter the Vehicle License Plate Number for each Permit
:
1. License Plate Number:
(Resident Permit)
2. License Plate Number:
(Resident Permit)
3. License Plate Number:
(Resident Permit)
Please make check payable to the City of Long Beach and mail it with this application, proof of
residency, and a copy of the vehicle registration for each vehicle. Mail to: City of Long
Beach, Parking Citation Section, 411 W. Ocean Blvd., Long Beach, CA 90802.
The applicant agrees that the permit(s) applied for may not be sold or transferred in any manner,
except that a guest permit may be used by various visitors and service people at the applicant’s
residence. The sale or transfer of a permit is in violation of LBMC Section 10.32.040 and shall be
subject to a fine in the amount of $100.00 and any misuse of a permit(s) is grounds for revocation by
the City of said permit(s).
The information provided above is correct and I understand the regulations regarding the use of
residential preferential and guest permits.
Appl
icant Signature Date
Property Ow
ner Signature (Required if applicant is a renter) Date
click to sign
signature
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signature
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