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2. Permit Application:

   Any person who applies for a parking permit is required to furnish a copy of their driver’s license and registration for up to two (2) vehicles to be authorized per tag, or two (2) motorcycles/moped. You are not eligible for a resident permit if the car is not registered in Briarcliff Manor.  The vehicle must be registered in the State of New York in conformity with the NYS Vehicle and Traffic Law, Article 3, Section 250, Item 1, which states residents must register vehicles in the state within 30 days of becoming a resident.  If you have a company car, please provide a letter of authorization on company letterhead as well as the registration.  

   Visa, MasterCard, Discover and American Express Credit Cards are accepted.  A 3% fee will be applied and is the responsibility of the applicant; all fees are non-refundable.  

   By Submitting an Application you agree to the following:

   Only ONE (1) vehicle/motorcycle/moped listed on the permit may be at the station at any one time.  

   NO REFUNDS OR TRANSFERS will be issued for the cancellation of any parking permits.

   Purchase of permit DOES NOT GUARANTEE a parking space.

   Any person caught altering a permit will have their permit privileges revoked without reimbursement for unused permit usage, and will be prosecuted.   

4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address*
10. Physical Address*
12. City*
13. State*
14. Zip Code
16. Mailing Address (If different)
18. City
19. State
20. Zip Code
24. Car 1 Plate #:*
25. Car 2 Plate #:
26. Drivers License and Vehicle Registration(s)*
28. Vehicle Make/Model*
29. Type of Vehicle*
    -- Select One --GasElectricHybrid

31. Must enter a minimum quantity for 1 of the two options below:

    If you are purchasing a permit starting in June, we recommend purchasing a monthly and/or quarterly permits.

33. Name
    Resident Pass Options
34. Price
    -- Select One --Annual - 600Quarterly - 215Monthly - 95
35. Quantity
36. Shipping Cost
38. Non-Resident Pass Options
39. Price
    -- Select One --Annual Non-Resident - 1100Quarterly Non-Resident - 300Monthly Non-Resident - 110
40. Quantity
41. Shipping Cost
43. Taxable
45. Taxable

47. Please make sure you are logged in before submitting

48. Parking Procedures*

    By checking this box you have read and understand and agree to the Village's parking procedures

    1. I agree
49. Parking Procedures
    Parking Procedures
Leave This Blank:


51. Calculate Totals Proceed to Checkout

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