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Document Butte_doc_963f4f5c20

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MONTANA TECH RESIDENTAL PARKING PERMIT APPLICATION Street 1. Pursuant to Ordinance Numbers 276 and 277, the Butte Silver Bow Parking Commission shall issue a Residential Parking Permit to a person residing in the Montana Tech residential area. a. The applicant must submit proof of residency for each person requesting a permit to the Parking Commission office. (power bill, lease, water bill, mail) b. The permit shall be valid between August 1st and June 1st. c. Permit holder understands that he/she is responsible for properly displaying the permit. Failure to do so could result in a parking violation of $10.00. 2. Each resident may obtain one guest permit (maximum 3 per household) Indicate the number of guest permits requested – no more than 1 per resident I hereby certify that I am a resident of the Montana Tech Residential Parking District. Date Signature of Applicant Date Signature of Applicant Date Signature of Applicant Please bring application, copies of photo ID’s and proof of residency for each applicant to: Butte Silver Bow Parking Commission 155 West Granite St. Rm 113 Butte, MT 59701 Office Use Only: Permit