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2. 
3. City of Placentia
   401 East Chapman Ave. Placentia, CA 92870
4. Permit Type:
   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. Owner Information
17. First Name*
18. Last Name*
20. Address*
21. Address 2 (Optional)
23. Phone Number*
24. City*
26. Instructions

    Click Submit and Print below. Print out resulting page and on dashboard on the driver's side of the RV displaying the top half.

Leave This Blank:


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

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field