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Form Ds-20 - Request For Residential High Occupancy Permit - City Of San Diegodevelopment Services - 2008

fORM

City of San Diego

Request for Residential

Development Services

DS-20

1222 First Ave., MS-302

High Occupancy Permit

San Diego, CA 92101

(619) 446-5000

2008

ebruary

Project No.

This form is required for a single dwelling unit with six or more persons eighteen years of age and older residing for 30 or

more consecutive days in accordance with Section 123.0502.

Please print legibly or type.

1. Site Address

Zip Code

Assessor’s Parcel No.

2. Applicant Name

Address

City

State

Zip Code

Telephone

List all property owners with ownership in the subject property

3. Property Owner Name:

Address

City

State

Zip Code

Telephone

Property Owner Name:

Address

City

State

Zip Code

Telephone

Property Owner Name:

Address

City

State

Zip Code

Telephone

Property Owner Name:

Address

City

State

Zip Code

Telephone

4. Local Contact/Responsible Party Information:

Address

City

State

Zip Code

Telephone

List all occupants eighteen years of age and older that reside on the premises for 30 or more consecutive days and list the associ-

ated registered vehicles. Please attach lease agreement (Rental properties only)

5. Tenants

Drivers License Number

Vehicle License Plate Number

Printed on recycled paper. Visit our web site at

Upon request, this information is available in alternative formats for persons with disabilities.

DS-20 (02-08)

Form Ds-20 - Request For Residential High Occupancy Permit - City Of San Diegodevelopment Services - 2008

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