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Parking Permission Request Form

This form can be used to request parking permission online.  Please allow at least 24 hours for this permission to take effect.  If you are requesting parking permission to begin in less than 24 hours, please contact the Kenilworth Police Department by telephone at 847-251-2141.

bulletPlease provide your contact information:  This information is important in case we need to contact you, or if there is a problem with your request.
First name
Last name
Telephone
bulletEnter your Vehicle MAKE in the space provided below.


bulletEnter your Vehicle MODEL in the space provided below.


bulletEnter your Vehicle COLOR in the space provided below.


bulletEnter the Vehicle LICENSE PLATE and STATE in the space provided below:

          

bulletEnter the LOCATION where you are requesting to park.


bulletEnter the START and END DATES for which you are requesting permission :
(Please note that permission can only be granted for a maximum of 30 days at a time)

Start Date:   End Date:

Enter any additional notes below:


Important Disclaimer:
Communications made through this electronic mail and message system shall in no way be deemed to constitute legal notice to the Village of Kenilworth, the Kenilworth Police Department or any of its agencies, officers, employees, agents, or representatives, with respect to any existing or potential claim or cause of action against the Village or any of its agencies, officers, employees, agents, or representatives, where notice to the Village is required by any federal, state or local laws, rules or regulations.

 

 

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Copyright 1998 Kenilworth Police Department
Last modified: October 05, 2005