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Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Vehicle
Cart / Heavy Equipment / Trailer
Medical / Disability
Marina Slip Rental
Summer Cart / Contractors
Multiple
New
Renewal
Resident
Non-Resident
Contractor
Type Full Name :
Sign With Hand
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Done
Email
*
Block
Fee
All medical permits require a Physician's Statement.
Property Details
New or Renewal
*
Applicant Type
*
Mailing Address
*
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Address 2
Add the details of every bicycle, tricycle, single seat or multi-seat motorized cart you need a permit for.
*
Reference No
Medical / Disability Permit Application
Lot
NON-RESIDENT APPLICANTS: please begin typing NON-RESIDENT and select 'NON-RESIDENT ADDRESS' in order to populate necessary fields (you can type over fields as necessary).
Permit Details
Last Name
*
Phone #
*
Village of
Ocean Beach
Phone # 2
Fee Schedule
Hold Harmless Applicant shall indemnify and hold harmless the Village of Ocean Beach (VOB) and its Trustees, officers, employees, contractors and agents against any and all claims and demands for any injury to persons or property arising from the use of the subject premises. This indemnification and hold harmless clause shall survive the expiration or termination of the terms of this Permit with respect to acts or events occurring or alleged to have occurred during the term of this permit. I understand that permits granted under this application will be in accordance with current code regulations and that false statements made may subject permit to revocation or suspension.
Checks made payable to: Inc. Village of Ocean Beach. All fees are NON-refundable and subject to late fees.
Mailing City, State, ZIP
*
Address
Applicant Details
Certification
Attachments
Applicant Signature
*
First Name
*
License Year
*
Address Search
*
Bicycle
Tricycle
Single Motorized Cart
Multi Motorized Cart
Annual
Lifetime Permanent
Lost Plate Sticker
Gas
Electric
Color
Remarks
Motorized Carts
Make
Fee for this type:
Medical Details
Power Source
Model
Type
*
Duration of Illness
Application Type
*
Single Seat Motorized Carts
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