Transcription of ACCESS PERMIT APPLICATION - New York City
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ACCESS PERMIT APPLICATION - New York City
ACCESS PERMIT APPLICATION Note: Information provided on this APPLICATION will be maintained by nycdep for agency purposes only. You may also apply on-line at to immediately obtain your ACCESS PERMIT . I hereby apply to the New york city Department of Environmental Protection ( nycdep ) for an ACCESS PERMIT and submit the following information: Driver s License or Non-driver ID#: State: Last Name: First Name: Middle Name: Mailing Address: city : State: Zip Code: - Primary Phone #: ( )- - Email: Gender: M F Date of Birth: / / Height: ft. inches Eye Color: Hair Color: I hereby certify that I am requesting an ACCESS PERMIT from nycdep to enter and use certain property owned by the city of New york ( city ) for such recreational purposes as are allowed by conditions, policies, rules and regulations promulgated by the city .
ACCESS PERMIT APPLICATION Note: Information provided on this application will be maintained by NYCDEP for agency purposes only. You may also apply on-line at www.nyc.gov/dep to immediately obtain your
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