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2. 
4. TRANSIT RIDER INFORMATION:
6. Name:*
7. Phone:*
9. Email Address:*
11. Mailing Address:*
13. Check One:*

    1. Frequent Overnight Parker and Monthly Transit Pass Holder
    2. One Time Only Overnight Transit Parker
15. Vehicle Left:
17. From:*
    From:
18. To:*
    To:

20. Overnight parking is only for ARTIC users and limited to a maximum of 14 days. Parking requests of more than 14 days will not be accepted. Overnight hotel parking is not permitted, violators are subject to tow.
    
    
    

22. VEHICLE INFORMATION:
24. Make:*
25. Model:*
26. Vehicle License Plate:*
27. Color:*
29. Transit Provider:*
30. Ticket #:*

32. You are authorized to park one vehicle overnight in a designated area at your sole risk. ATCM, LLC Parking Services, ARTIC management and the City of Anaheim does not guard or assume care, custody or control of your vehicle or its contents and is not responsible for fire, theft, damage or loss. Only authorization is granted hereby, and no bailment is created. Vehicles left over requested days may be impounded at vehicle owner's expense. 

    By signing below, I certify or declare under penalty of perjury that I have read the information provided to me. 

    I understand the conditions outlined in the Overnight Parking Procedure and all information submitted with this application is true and correct to the best of my knowledge. I realize that this permit does not exempt me from any other parking restrictions. 

    Frequent overnight parkers not displaying permit may be subject to tow at vehicle owner’s expense. Policies are subject to change with proper notice at any time.

34. Applicant Signature:*
35. Date:*
37. 
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

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