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Stevenson Parking Permit Application

2. Commuter Parking Permit Application Prairie View Station
   Apply in person at or mail stamped self address envelope to:<br> Vernon Township<br> Prairie View Metra Station<br> 3050 N Main Street<br> Buffalo Grove, IL 60089<br> Phone: 847-634-4600

   Apply in person at or mail stamped self address envelope to:
   Vernon Township
   Prairie View Metra Station
   3050 N Main Street
   Buffalo Grove, IL 60089
   Phone: 847-634-4600

4. Type of Permit Requested

   1. Monthly
   2. October to December
   3. January to May
   4. School Year

6. Student's Name

8. Street Address

10. City

11. State

12. Zip Code

14. Cell Phone

15. Parent's Phone

17. Make & Model Car 1

18. License Plate Number

20. Make & Model Car 2

21. License Plate Number

23. Make & Model Car 3

24. License Plate Number

26. *Please list license plate number even if you have had a permit in the past.

    *Please list license plate number even if you have had a permit in the past.

28. Permit Number

29. Fee Collected

30. Date
    Date

32. Cash

33. Check Number

Leave This Blank:


34. Print Only

* indicates a required field