Are there any types of Parking Restrictions on your street?
If yes, state the License Plate #
If yes, please describe:
If yes, state the Placard #
Explain why you are in need of a Handicapped Parking Space in front of your house:
If yes, please identify what type of off-street parking you have, and explain why you believe that available off-street parking is unusable:
If the vehicle is not registered to the Handicapped Person, why is a Handicapped Parking Space being requested? (Please be specific)
Is the applicant:
If no, does the disabled person have a Handicapped Placard?
Does the disabled person have a NJ State Handicapped License Plate?
Do you have a garage or other off street parking available?