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Blooms Mill Homeowners Association, Inc.

Visitor Parking Pass Application

Owner Information

Your Street Address in the Community:

Owner Name(s) and Contact Information (list all legal owners according to your deed)

Name	Primary Phone #	Secondary Phone #	Email Address

Owner(s) Billing address (if different from the property address):

Other Occupant Name(s) and Contact Information*

*if your home is rented, please also provide a copy of the current lease.

Property Lease

(Allowed file extensions are jpg, jpeg, jpe, gif, png, pdf. For any other format, please upload your lease at this link: https://eastsupport.fsresidential.com/)

Name	Primary Phone #	Secondary Phone #	Email Address

To receive a visitor parking pass, please provide the necessary information below to insure only homeowners will be parking in our community.

EACH HOUSEHOLD WILL RECIVE ONE VISITOR HANG TAG.

Vehicle Information (please provide any information that may be applicable to your community

Make/Model/Year	Color	State	Plate #	(Office Use) Permit #

ACKNOWLEDGEMENT STATEMENT

I (We) further state that I (We) understand that all surface parking spaces within the community are reserved for guest parking only requiring a visitor parking pass; anyone found parking on the surface parking spaces without a visitor parking pass will be subject to towing at the vehicle owner’s sole expense, as outlined in the Parking Policy.

Date Completed:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

February 27, 2025 9:37 am EDT

Blooms Mill HOA Visitor Parking Pass Uploaded by Haley Overton - [email protected] IP 4.71.176.253

February 27, 2025 9:59 am EDT

CSS East - [email protected] added by Community Support Services East - [email protected] as a CC'd Recipient Ip: 71.68.217.46

February 27, 2025 10:51 am EDT

Document owner [email protected] has handed over this document to [email protected] 2025-02-27 10:51:03 - 71.68.217.46

February 27, 2025 10:51 am EDT

CSS East - [email protected] added by Haley Overton - [email protected] as a CC'd Recipient Ip: 71.68.217.46

March 3, 2025 6:57 pm EDT

Parking Team - [email protected] added by Haley Overton - [email protected] as a CC'd Recipient Ip: 4.71.176.253