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APPLICATION FOR RESTRICTED

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Clear All Data APPLICATION FOR RESTRICTED DRIVER'S LICENSE Case No. ........................................ .................................. Commonwealth of Virginia [ ] General District Court ........................................ ........................................ ........................................ ........................................ ... [ ] Juvenile & Domestic Relations District Court CITY/COUNTY. ........................................ ........................................ ..................................... ........................................ ........................................ ........................................ ......... DEFENDANT DRIVER'S LICENSE NUMBER STATE.

FORM DC-263 (MASTER, PAGE ONE OF TWO) 10/13 . APPLICATION FOR RESTRICTED DRIVER’S LICENSE. Case No. ..... Commonwealth of Virginia

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