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BOX 1325 PINE LAKE, GA PHONE # 404-292-4250 FAX 404-292-4859
PARK CARD APPLICATION
RESIDENTS, PROPERTY OWNERS & RENTERS Park Cards are required to use the parks, lake and related facilities. . Please observe all regulations in the park areas. Residents and property owners will receive two park cards free of charge, renters will pay $25.00 fee after showing proof of residence, $10.00 will be returned if cards are returned upon moving from the city. Cards are updated yearly at no charge with a sticker. Replacement park cards are $10.00. In order to receive a Park Card complete the information below, and a park card will be issued within one week of receipt of application. . Along with privileges to the park comes the responsibility of cleaning up all fishing line, hooks, dead fish, bait and trash, trash cans are provided in the Park. Please carry your Park Card when in the park, Park Cards are strictly enforced. Personnel authorized to enforce the use of Park Cards are the Pine Lake Police Department, City Officials and their designees and beach managers. When requested to show your Park Card, you must do so or leave the park until you can. Complete this form and return to City Hall at 462 Clubhouse Drive, or mail to City of Pine Lake, Post Office box 1325 Pine Lake, GA. 30072.( Renters must submit a $25 check. or money order) Today’s date _____________________________________________________________ Name:__________________________________________________________________ Street Address_____________________________ Apt #_________ P. O. Box ________ Home Phone ____________________________ Work Phone ______________________
Renters please complete this section: Owner’s Name ___________________________Telephone # _____________________ Emergency contact_________________________ Telephone # ____________________ I have received and read a copy of the park rules and regulations. ___________________