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DETAILS:

PLATE#:

Reason:

MAKE:

MODEL:

VEHICLE COLOR:

STATE:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

CITY:

STATE:

ZIP CODE:

START DATE:

END DATE:

Please enter the Actual Calendar Date you wish to park on the street.

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FIRST NAME:

LAST NAME:

PHONE #:

Email:

NOTES :

Add More Vehicles To This Entry

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MAKE:

MODEL:

VEHICLE COLOR:

PLATE#:

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VEHICLE COLOR:

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MODEL:

VEHICLE COLOR:

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VEHICLE COLOR:

Over Night Parking

Provide us the details of your vehicle and the location it will be parked over night. We will add your request to our database to ensure a ticket is not given.

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KeyHolders

If you are a local business or residence, enter your contact information here for our records. In the event of an emergency, we will have quick access to your key holders.

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Overnight parking permission requests must be submitted prior to 2 A.M. of the day requested. THE DATES OF PARKING PERMISSION REQUESTS MUST END ON THE LAST DAY OF PERMISSION REQUESTED (i.e. date at 2 A.M). Citations issued between 2 A.M. and 5 A.M. will not be voided if the citation is issued prior to the time parking permission is requested. All vehicles receiving overnight parking permission MUST otherwise be parked legally. (i.e. not in violation of posted signs, fire hydrants, etc.) Oversize vehicles such as trucks (D plate and above), RV's and trailers must call 630-873-4400 for overnight parking permission.

If this is an emergency, please call 911

KEY HOLDER INFO:

ALARM INFO:

Comments:

Lombard Police Department

OVERNIGHT PARKING ENTRY

DETAILS:

OVERNIGHT PARKING

FOR PARKING PERMISSION IN EXCESS OF 4 DAYS PLEAST CALL THE POLICE DEPARTMENT AT 630-873-4400.

VACATION WATCH ENTRY

CONTACT INFO:

DETAILS:

VACATION WATCH

CONDITION REPORT ENTRY

DETAILS:

CITIZEN REPORTING

INCIDENT LOCATION:

PERSONAL CONTACT INFO:

INCIDENT INVOLVES A VEHICLE:

INCIDENT INVOLVES PROPERTY:

CITIZEN REPORTING

BIKE MANAGEMENT ENTRY

CONTACT INFO:

DETAILS:

PET MANAGEMENT ENTRY

CONTACT INFO:

DETAILS:

KEY HOLDER ENTRY

COMPANY INFO:

KEY HOLDER INFO:

ALARM INFO:

Key Holder Entry:

KEY HOLDER ENTRY

Residence Info:

KEY HOLDER INFO:

ALARM INFO:

Comments:

AT-RISK RESIDENTS ENTRY

PERSONAL CONTACT INFO:

EMERGENCY CONTACTS:

MEDICAL CONTACT INFORMATION:

ADDITIONAL DETAILS:

COMMENTS:

AT-Risk Residents

Lombard Police Department