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4. Date of Citation*
5. Citation Number*
9. Code Section Violated per Citation*
   -- Select One --Illegal and Overtime Parking KGBC 10.10.010(b),(d)(1),(d)(3),(d)(6), or (d)(8)Handicapped Parking Without Permit/License Plate KGBC 10.10.010(d)(2)(b)Misuse of Handicapped Permit/License Plate KGBC 10.10.010(d)(2)(b)Overnight Camping KGBC 10.10.010(d)(4)Failure to Display Registration KGBC 10.10.010(d)(5)Vehicle Carrying Trash KGBC 10.10.010(d)(7)Illegal and Overtime Parking KGBC 10.10.010(d)(9)Other Offense
11. Describe Reason for Appeal*
13. Attach Documentation

14. If possible, please submit your appeal with supporting documentation, photos, or copies of receipts.

18. First Name*
20. Last Name*
22. Address1
24. Address2
26. City
27. State
28. Zip
30. Email Address
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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