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Parking Forms
Citation Appeal
NAME:___________________________ Email:__________________
STREET
ADDRESS:_________________________________________________
CITY:________________________
STATE:_________ ZIP:______________
TELEPHONE NO:
(H)______________ (W)______________
DATE:__________
TICKET NO: HU______________ VIOLATION:___________________
ACTION TAKEN:
TICKET ____ TOW ___
I WISH TO
APPEAL THE ABOVE ACTION:_________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
SIGNATURE:___________________________________
PARKING
OFFICIAL COMMENTS:
__________________________________________________________
__________________________________________________________
__________________________________________________________
SIGNATURE:___________________________________
APPROVED
______ DENIED
_____ OTHER _____
COMMENTS:_______________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
DATE:
_____________________________
SIGNATURE:______________________
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