By filling out the above information, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing the privilege of obtaining a winter parking permit. I understand that the Town of Cobalt or its Agents have the right to deny my request for a permit. I authorize investigation of all statements in this application. I understand that this application is the property of the Town of Cobalt and its Agents.
I understand that I must still follow the winter operations requirements.