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Temporary RV Parking Permit

2. 

3. City of Placentia
   401 East Chapman Ave. Placentia, CA 92870

   401 East Chapman Ave. Placentia, CA 92870

4. Permit Type:
   Temporary RV Parking Permit Application

   Temporary RV Parking Permit Application

6. Vehicle Information

7. Permit Date*
   Permit Date

   Permit valid for 48 hours from start of permit date.

9. Plate Number*

10. Model*

12. Make*

13. Year*

15. ---

17. Owner Information

19. First Name*

20. Last Name*

22. Address*

23. Address 2 (Optional)

25. Phone Number*

26. City*

28. Instructions
    Click Submit and Print below. Print out resulting page, fold above the dotted line and place on dashboard on the driver's side of the RV displaying the top half.

    Click Submit and Print below. Print out resulting page, fold above the dotted line and place on dashboard on the driver's side of the RV displaying the top half.

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

* indicates a required field