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Rubidoux Parking Permit Application

  1. Enter your first name.
  2. Enter your last name.
  3. Enter full street address, street number and street name only. City and zip code are not required.
  4. Enter your phone number.
  5. Enter your email address.
  6. Tenant or Owner of Property?
    Please specify if you are the tenant or owner of the property.
  7. Please enter the mailing address at which you would like to receive your parking permits.
  8. By Selecting Yes, You Acknowledge That You Are Familiar With The Parking Permit Program Rules
    Parking permits may not be sold, transferred, loaned, or borrowed, to other residences, other residents, or visitors to the neighborhood. Permit placards must be displayed at all times when parking in areas subject to the parking permit program. Any violation of these rules may result in a revocation of parking permit passes and further legal action.
  9. Leave This Blank:

  10. This field is not part of the form submission.