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Wrecker Permit Application Page 2 of 3 <br /> Last Vehicle Needing a Permit: <br /> Qoo "7 Pail Pad 11.1.11MMIIIINO -r riq© c <br /> Year Make/Model Motor/LD. # License # <br /> If Vehicle is not owned by the Applicant, list vehicle owner's name and address: <br /> 1) <br /> Name Address City / State/Zip <br /> 2) <br /> Name Address City / State/Zip <br /> 3) <br /> Name Address City /State/Zip <br /> NOTE: If the towing vehicle is operated under the terms of a contract with some company <br /> other than the owner, a copy of the contract shall be attuned to this application. <br /> I hereby agree to obey the provisions of the City's rules and regulations, ordinances and statutes <br /> applicable to motor vehicles and understand that upon my failure to so obey such laws that my permit may <br /> be revoked or suspended without notice. <br /> I imderstand that all changes of officers or partners shall be reported to the City Secretary within <br /> ten (10) days after the change, and such new officers or partners shall individually file applications <br /> certifying to their individual qualifications within such time. The failure to certify within such time or to <br /> possess such qualifications required of such persons under Article III, Section 78-297, shall be cause for the <br /> suspension of all permits held by such corporation or partnership. <br /> I hereby certify that all the statements contained in this application are true and correct to the best - <br /> of my knowledge. <br /> X X <br /> 1 1I► - III . Partner <br /> aldi .., • r <br /> Corporation President attested by Corporation Secretary* ** / <br /> * * *If Corporation, affix corporate seal to this application <br /> SWORN AND SUBSCR:ID to bef me, the undersigned authority, by the above <br /> named person, this the C7 day of A- Ce4rn ..&, i a . <br /> X u o� <br /> 1 VICKIE LAWRENCE ; Notary Public for the State of Texas <br /> Mir Commfsston Expires � 4 LI August t, 2!)12 <br /> -IL:1 <br />