Assembly Parking Permit Form

Welcome to PARK Roanoke's on-line Assembly Parking Permit Request service. Please complete the following form to request temporary parking permit(s) in conjunction with an approved Assembly Permit. To allow us to properly respond to your request, please submit all requests within five business days of the event.

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Name:*

Email:*

Subject:*

Message:*

Assembly Permit Number:

Permit Location:

Start Date:

Start Time:

End Date:

End Time:

Event Name:

Name of entity requesting permit:

Vehicle Driver's Name:

Vehicle License Plate:

Vehicle State:

Vehicle Make/Model:

Vehicle Type (van, truck, trailer, bus):

Vehicle Color:

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