TOWN OF LA POINTE
EXTENDED PARKING PERMIT
TOWN LOT A - AIRPORT PARKING LOT
FILE NUMBER ________________
Name: ________________________________________________________________________________
PLEASE FILL IN PERSONNEL INFORMATION ON BACK OF SHEET
Vehicle Information: Year: _________ Make: ___________ Model: ___________ Color: _____________
License Plate Number: ____________________________________________________________________
Amount Paid: $ _____________ Received by: _______________________________ Date: ________________
Cost of Extended Parking Permit for Lot A per Code of Ordinances §Section 185-16
Summer: 6 months: $105.50 ($100.00 plus 5.5% sales tax) Valid 05/1/21 - 10/31/21
Winter: 6 months: $105.50 ($100.00 plus 5.5% sales tax) Valid 11/1/21 - 04/30/22
Annual: 12 months: $158.25 ($150.00 plus 5.5% sales tax) Valid 05/1/21 - 04/30/22
Remit payment to: Town of La Pointe, PO Box 270, La Pointe, WI 54850
THIS PERMIT WILL BE VALID FROM: ________________________ TO ________________________
(Start Date) (End Date)
Approved by Town Clerk: ___________________________________________ _____________________
(Signature of Town Clerk/Deputy Clerk) (Date)
Approved by Airport Manager: ________________________________________ _____________________
(Signature of Airport Manager) (Date)
Please prominently display extended parking permit inside the windshield of your parked vehicle,
on the drivers side where the permit can be clearly observed.
Schedule of Fees approved by Town Board December 8, 2020 for 2021
Personal Information:
Name: ______________________________________________________________
Address: ______________________________________________________________
City: ____________________________________
State: __________ Zip: ______________
Phone: ________________________________________________________________
Email address:________________________________________________________________