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Application for residents parking permit

By Tony Cook,2014-07-16 23:12
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Application for residents parking permit

    APPLICATION FOR RESIDENTS PARKING PERMIT

Surname: (Mr/Mrs/Ms/Miss/Other)

First name(s):

Address:

Daytime telephone number(s):

    Documentary evidence required: (All evidence provided must contain the name and current address of the person applying for the Residents Permit.)

    ; Applicant’s current Council Tax bill or payment book. If you are a dependant of the

    Council Tax payer of the property, you will need to supply a copy of council tax payers bill

    supported by a current utility bill or bank statement in the name and address of

    applicant.

     and

    ; Vehicle registration document (V5) registered at current address or insurance document.

    If company car, a letter from the company and proof of vehicle ownership or hire/lease

    agreement. Documents must show applicants name, address and registration number.

     or

    ; If landlord pays the Council Tax, letter from landlord or landlord’s Council Tax bill or

    tenancy agreement and applicant’s vehicle document (as above).

Cost of Permits: ?29.00 per year for Residents or ?406.00 for Business Permits.

    If you change your vehicle or Residents Zone you must contact us to get your permit amended. You must provide documentation as before and you will also have to return your original permit. For the first such change within 12 month there will be no charge, however, any further changes will incur a charge of ?5.00 each. A refund will not be given for a residents permit no longer required.

Method of Payment (delete as appropriate):

Cash (In Person Only) Credit/Debit Card (In Person Only)

Cheque Postal Order

Vehicle Registration Mark: Make:

Model: Colour:

CONTINUED OVER…

I UNDERSTAND THAT YOU WILL USE THE PERSONAL INFORMATION I HAVE GIVEN IN

    LINE WITH THE DATA PROTECTION ACT 2000. PARKING SERVICES WILL USE THE

    INFORMATION I HAVE GIVEN TO ISSUE RESIDENT PARKING PERMITS. I ACCEPT THAT

    YOU WILL PASS THIS INFORMATION TO OTHER LUTON BOROUGH COUNCIL

    DEPARTMENTS AND THE DVLA, FOR THIS AND RELATED PURPOSES.

    I UNDERSTAND THAT YOU HAVE TO PROTECT THE PUBLIC FUNDS YOU HANDLE, SO

    YOU MAY USE THE INFORMATION I HAVE PROVIDED ON THIS FORM TO PREVENT AND

    DETECT FRAUD. YOU MAY SHARE THIS INFORMATION WITH OTHER BODIES WHO

    HANDLE PUBLIC FUNDS FOR THESE PURPOSES ONLY.

DECLARATION TO BE SIGNED BY ALL APPLICANTS

I UNDERSTAND THAT ANY PERMIT ISSUED TO ME BY THE COUNCIL IS IN RESPECT OF

    THE SAID VEHICLE, AND THAT I MUST SURRENDER IT TO THE COUNCIL IF:

    i. I cease to be resident / carer / employee / business owner / doctor as defined by

    the Order

    ii. I cease to own or to be the authorised user of the vehicle

    iii. The said vehicle is adapted or used in a way that it ceases to be a passenger

    vehicle, dual purpose vehicle, goods vehicle or motorcycle as defined in the Order

    iv. I am issued with a duplicate/replacement permit.

    v. The permit ceases to be valid due to the cheque or payment being dishonoured.

    vi. I declare that all the information I have given in this application is correct and

    understand that having a parking permit does not guarantee me a parking space

    and is only applicable in the designated residents exempt parking bays and NOT

    on yellow lines.

    vii. I agree not to obstruct driveways / vehicular entrances and understand that my

    permit may be cancelled if I do.

Applicant’s Signature:

Date:

ONLY ONE PERMIT WILL BE ISSUED TO EACH INDIVIDUAL RESIDENT OF A PROPERTY.

PERMITS WILL NOT BE ISSUED UNLESS THIS FORM IS ACCOMPANIED BY THE

    CORRECT DOCUMENTATION AND PAYMENT

The Parking Shop Tel: 01582 547272

    Gordon Street Fax 01582 547129

    LUTON E-mail parking@luton.gov.uk

    LU1 2BQ

    Opening times: Monday Friday

    9.00am 4.30pm

This information can be made available in other formats. If you require a copy on large print, on

    tape or a language other than English or would like to give your views and opinions on the

    proposed project or simply want more information, please contact The Parking Shop on 547272.

Amended on 13/04/11.

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