Homeowner or Resident Name *

First Name

Last Name

Phone Number *

(###)

###

####

Size of Garage *

2 Car

3 Car

Size of Driveway *

2 Car

3 Car

Variance Start Date *

Please note that citations are issued between 12:00 AM - 5:00 AM seven days per week. Your variance will begin at 12:00 AM on the date you enter below. Please enter the start date for your variance below.

MM

DD

YYYY

Variance End Date *

IMPORTANT: Guest parking will be allowed with a parking pass, owners/resident can obtain a 72 hour parking pass from Management once every 7 calendar days. Longer passes can be obtained with approval from management. Please contact Management at blackstoneclubhouse.ca@fsresidential.com or (916) 933-8200 if you need a parking pass longer then 72 hours. If you enter an end date greater than 72 hours from the start of your variance, your variance will require management approval.

MM

DD

YYYY

Owner Acknowledgement *

By checking this box I agree that all of the information provided in this Request for a Guest Parking Pass is true and accurate to the best of my knowledge.