Temporary Parking Permit Application High Meadow Cooperative #1 Ossining, NY 10562 Name * First Name Last Name Address * Phone * (###) ### #### Email * Temporary Tag Information If you require a temporary parking tag (i.e. car rental), you must complete this application for the vehicle for which it will be used. Temporary tags will be issued for no more than 5 days and only one per address at a time. Year * Make * Model * Plate # * Start Date * MM DD YYYY End Date * MM DD YYYY Sticker # (Office to fill out) * Date Issued (Office to fill out) * Applicant Name * Your electronic signature below signifies you have read the above statement and agree. * Sign Below Applicant Name Your electronic signature below signifies you have read the above statement and agree. * Sign Below *For office use, only Vehicle owner or driver acknowledges that management assumes NO LIABILITY for theft or damages to vehicles parked on the premises. Tag is to be hung on the review mirror or display inside windshield. Thank you, your request has been submitted.