BOROUGH OF ENGLISHTOWN
HAMILTON STREET PARKING LOT
Home Phone No: Alternate No:
New Jersey Drivers License No: ____________ Expiration Date:
New Jersey Vehicle Registration No:___________________Expiration Date:
License Plate No.
I _________________________ shall abide by all the rules and regulations set forth in Chapter 2.93 Article II of the Borough of Englishtown Code Book.
OFFICIAL USE ONLY
Payment: Date Received: Cash Check
Permit Information: Date Issued: Permit No. Space No.
Attested – Municipal Clerk Date