2. TEMPORARY ON-STREET PARKING PERMIT

   The City of Durham recognizes the occasional need for vehicles to be allowed to park in on-street parking spaces without regard to the posted time limit when such parking is needed.

    

   To best accommodate this need, a Temporary On-street Parking Permit program has been implemented. Permits issued do not exempt vehicles from any other posted restrictions or where parking is prohibited either by a red curb or posted parking prohibitions during the hours such prohibitions are in effect. The vehicle must be parked in a space where is it legal to park. The vehicles shall not impede traffic or affect public safety. All permit renewals must be reviewed prior to approval. Please be advised that the issuance of a Temporary On-street Permit is subject to review and is a privilege and not a matter of right.

4. Make sure you have reviewed the eligibility details before submitting this form.
6. Business Name (If Necessary)
8. First Name*
9. Last Name*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*

    000-000-0000

19. Email Address*
20. Start Date:*
    Start Date:
21. End Date:
    End Date:
23. How many spaces are you requesting? *

    1. One
    2. Two
    3. Three
24. Is this a request to renew your permit(s)?*

    1. Yes
    2. No
25. Street Location*
29. Vehicle Make*
30. Vehicle Model*
31. Color*
33. License Plate*
34. State*
38. Vehicle Make
39. Vehicle Model
40. Color
42. License Plate
43. State
45. Terms and Conditions

    I certify or declare that the above-listed information and attached documents are true and correct. proof of fraudulent application will result in immediate denial and/or revocation of permit(s). I further understand that failure to comply with the terms and conditions of the temporary on-street parking permit will result in my permit being revoked and I may be subject to a citation or tow.

    • Permits are $27.50 per day, per parking space. Lost permits will be replaced at the applicant’s expense.
    • Permits must be properly displayed in the vehicle at all times
    • Permits may be purchased for no more than six (6) months at a time (subject to review)
    • Renewal permits are subject to review prior to issuance
47. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that

    1) your application will not be signed in the sense of a traditional paper document,

    2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and

    3) you may still be required to provide a traditional signature at a later date.

    
    

    1. I agree.
49. Electronic Signature*
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field