Residential Parking Zone Permit Application

Instructions:

1. Fill out form below.
2. Review and print form. You must print a SEPARATE form for each vehicle permit requested.
3. Date and sign the printed form.
4. Enclose $20.00 (NON-REFUNDABLE), filing fee for each vehicle permit requested.
5. Attach a photocopy of the vehicle registration.
6. Mail application, vehicle registration, and filing fee to:
   TAX COLLECTOR
   CITY OF NEW HAVEN
   P.O. BOX 1762
   NEW HAVEN, CT 06507

Application Information
Last Name		First Name
Residence Street #		Street Name
Flr/Apt. #		Res. Phone #	. .
		Work Phone #	. .
Vehicle Information		State
Plate #		Year
Make		Model
Color		Body Style