Form Builder - City of Burlington

Required fields are marked with asterisks (*)

Alton Village Residential Parking Permit Application

Effective March 18, 2021

Introduction/Purpose
Please use this form to submit an application for an Alton Village Residential Parking Permit.

Notice of Collection
This form collects personal information under the authority of the Municipal Act, 2001. The information will be used to process parking permit applications and to issue parking permits. Questions about the collection and use of personal information for this purpose can be directed to the Service Burlington, City of Burlington, 426 Brant St., Burlington, ON, L7R 3Z6, T: 905-335-7777 E: city@burlington.ca

Vehicle Owner Information

Name:

Suite/Unit Number

Street Number

Street Name:

City/Town:

Province:

Postal Code:

Home Telephone No.:

Cell #:

Email:

Vehicle Information

Total vehicles registered at above address:

Licence Plate #:

Vehicle Make / Model:

Ownership matches residence address:

Yes