 AT MOUNT LEBANON |
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1150 BOWER HILL ROAD PITTSBURGH, PA. 15243-0986 412-279-0100 |
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Handicapped Parking
This is a request to use one the parking spaces made available to "handicapped resident drivers". The necessity for the request is expected to be short-term____________/long-term____________ and is necessary due to__________________________________________________________ __________________________________________________________________________. I agree to use one of these spaces only when I am the driver of the car, and to affix the approved sticker to my rear bumper to indicate this registration.  Tag # issued______________________ Date_____________________ Signature_______________________________Unit # Bldg._____________________________
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