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mv-044 application for physically disabled parking permit ...

BnoitceSytilibasidelbaifitrechtiwnosrepr of/ybdetelpmoceboT)noitacifitreclacidemr ofDnoitceSees(emaN#ytiruceSlaicoSro# $A:ETON()deliamebotsetalpesnecilraeYelci heVthgieWekaMrebmuNlaireSrebmuNeltiTledo MepyTydoBoNseY?timrepgnikrapelbatroptnen amrepadlohyltnerrucuoyoD:rebmuntimrepgni kraptnenamrepevigesaelp,seyfIerutangiSI hereby request that a portable physically disabled parking permit or license plates be issued in the name of the applicant (certified applicant). I certify that I am a resident of South Dakota and that the above information is accurate and by signing this application , I certify that I have read and understand this application pertaining to physically disabled parking responsibilities, uses and penalties and fines of using and displaying a physically disabled parking permit or special license plates.

Application For Physically Disabled Parking Permit And License Plates MV-044 Submit the completed form to your local county treasurer Revised 0 / FOR COUNTY USE ONLY/ ID # Section A. Type of permit applying for: Check all permits that apply (See Section D for medical certification, required for all permits.) Permanent Portable Permit (Permanent ...

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