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2. First Name*
3. Last Name*
5. Street Address*
6. Apt. Number
8. City*
9. State*
10. Zip*
12. Phone Number*
13. E-Mail Address *
15. Vehicle License Plate #*
16. State*
17. VIN*
19. Make*
20. Model*
21. Year*
22. Vehicle Color*
26. Public Parking Lot Permit Requested (select one)
28. Permit Lot/Type
30. Hamilton Street (Lot 2) Monthly

    1. Hamilton Street (Lot 2) 1 Month $30.00
    2. Hamilton Street (Lot 2) 2 Month $50.00
    3. Hamilton Street (Lot 2) 3 Month $60.00
32. Farragut Street Lot (Lot 4) Monthly

    1. Farragut Street Lot (Lot 4) 1 Month $20.00
    2. Farragut Street Lot (Lot 4) 2 Month $35.00
    3. Farragut Street Lot (Lot 4) 3 Month $45.00
34. Jefferson Street (Lot 5) Monthly

    1. Jefferson Street (Lot 5) 1 Month $30.00
    2. Jefferson Street (Lot 5) 2 Month $50.00
    3. Jefferson Street (Lot 5) 3 Month $60.00
36. Special Events Parking

    1. Lot 2 (37 Spaces) - $150.00
    2. Lot 4 (14 Spaces) - $75.00
    3. Lot 5 (59 Spaces) - $250.00
38. Total Due
    Parking Permits
39. Monthly/ One-Time Fee
40. Quantity
41. Shipping Cost
43. Taxable
47. Business Name
48. Business Address
50. Work Phone
51. Unit Number
52. Business Email
54. Name of Owner/Manager
56. I hereby affirm that the applicant is a current employee
57. Employee Name
59. and is eligible to receive a City of Hyattsville monthly public parking lot permit.
61. Business Owner/Manager's Full Name*
62. Initials*
63. Date & Time*
    Date & Time

    Date & Time
67. Checklist for Renewal Applications*

    1. Pay all outstanding parking violations for each vehicle receiving a permit
    2. Make all payments payable to the “City of Hyattsville”
    3. Provide proof of residency OR local employment
    4. Valid vehicle registration
69. Terms & Conditions
    Click here to view
72. Print Name*
73. Initials*
74. Date & Time*
    Date & Time

    Date & Time
76. If you prefer the option of submitting the application by mail or by email, please complete, print and submit the application, via email to parking@hyattsville.org or by mail to City of Hyattsville, 4310 Gallatin Street, 3rd Floor, Hyattsville, MD 20781. Please click the link below to download application.
78. Public Parking Lot Permit Application
    Download Application
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80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit

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