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FORM #34 - Parking Violation

  • Tenant(s):
  • Tenant(s):
  • Address: Unit:
  • City: , OREGON Zip:

  • Make of Car: Model: Color: License #: State:

As of DATE: ____________________________ TIME: ___________ ___a.m. ___p.m.


Notice to vehicle owner:
For one or more of the following reasons this vehicle is subject to being towed away within 72 hours at your expense:

  • ___ Parking improperly
  • ___ Blocking access to the garbage areas
  • ___ Parking in "no parking" or restricted zone
  • ___ Blocking entrance to building or driveway (fire department regulation)
  • ___ Not registered as resident's vehicle
  • ___ Not in acceptable condition:
  • ___ Failure to display parking device (sticker, tag, etc.)
  • ___ Other:

Owner/Agent Signature: ___________________________ Date: __________________

  • Owner/Agent:
  • Address:
  • City: , State: Zip:
  • Telephone: Email:


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1462 Commercial St. NE, Salem, OR 97301
Phone: 503-364-5468 | Fax: 503-585-8119

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