CITY OF CAMBRIDGE
Cambridge, MA
www.cambridgema.gov


INTERDEPARTMENTAL PARKING FACILITY REGISTRATION FORM

= Required Field
Today Date : 11/22/2014
Facility Information
Name of Parking Facility:
Address:
Zipcode:
Telephone Number:
Property Information
Assessor's Block Number:
Assessor's Lot/Parcel Number:
Owner's Name:
Address:
City:
State:
Zipcode
Telephone Number:
E-mail Address:
Facility Operator Information (if different):
Operator's Name:
Address:
City:
State:
Zipcode
Telephone Number:
E-mail Address:

Will the facility serve any other properties?
Yes:
No:
If "yes" indicate below their name and address (or "general public")
Business/Residence
Address
Business/Residence
Address
Business/Residence
Address
TYPE OF REQUEST
New Facility
Modified Facility
Existing
TYPE OF FACILITY
Lot
Garage
Lot & Garage
TYPE OF USER
Commercial (general public for a fee)
Accessory Yes
Principal Yes
Fee Charged? Yes No
FEE COLLECTION (if applicable):
Entrance
Exit
Monthly
Yearly
Lease
Number of parking spaces required by zoning? Minimum Maximum
Number of currently registered and/or proposed parking spaces by type and user:
Type
Registered
Proposed
Description of Proposed User(s)
Commercial(for a fee)
Residential
Employee
Customer/Client
Visitor/Guest
Patient
Student