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Get NY Oceanside - Special Parking District - Town Of Hempstead 2017

I HEREBY CERTIFY THAT I RESIDE AT THE ADDRESS SET FORTH BELOW, THAT I AM THE OWNER OF THE MOTOR VEHICLE HEREAFTER DESCRIBED, AND THAT I MAKE AN APPLICATION FOR A PERMIT TO PARK SUCH MOTOR VEHICLE IN THE PERMITTED PARKING AREAS DESCRIBED IN SAID ORDINANCE OR RULES AND REGULATIONS WHEN SPACE THEREIN IS AVAILABLE. I AGREE THAT THE TOWN OF HEMPSTEAD SHALL NOT BE LIABLE FOR ANY LOSS OR DAMAGE TO THE DESCRIBED BELOW MOTOR VEHICLE OR ITS EQUIPMENT OCCURRING WHILE SUCH MOTOR VEHICLE IS PARKED IN ANY PER.

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