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• <br /> ECEivu: . t <br /> CITY OF LA PORTS DEC 1 7 2010 1 <br /> APPLICATION <br /> (Fee Changes per Ordinance #05 -2837; Eft 10 -01 -05) BY: <br /> ( NEW* Emergency Auto Wrecker Annual Permit <br /> Permit Application Fee paid at City Secretary's Office - New Auto Wrecker Permits Request 150.00 <br /> (NOTE: *WRECKER COMMJ ITEE APPROVAL REQUIRED BEFORE ISSUANCE) <br /> City Secretary Office (CSO) advises Inspection Services.Division (ISD) when a request is <br /> submitted/paid for. CSO provides ISD with proposed yard location (must be within our city <br /> limits). ISD performs inspection to see if yard complies with zoning/screening requirements and <br /> advises CSO of findings (in writing). CSO advises Committee Members. <br /> ( ) RENEWAL - Emergency Auto Wrecker Annual Permit <br /> ( ) Towing Vehicle Annual Permit (Non Emergency) <br /> Annual Fee *: 575.00 Per Vehicle Ownership Transfer Fee * *: 525.00 Per Vehide <br /> * Note: Permit fee can be Pro-Rated by the Month; 56.25 per month) <br /> ** A permit issued is personal to the owner and is NOT transferable between owners <br /> without the express approval of the Wrecker Committee. <br /> ALL PERMITS EXPIRE ON DECEMBER 31" OF EACH YEAR <br /> re- az A - t_ e.� <br /> Co L LC- I P }- <br /> Company Name I ► W /, <br /> mp y ame to be Shown on Permit: �� '�.- �.�GC,(J <br /> (If other than � !> <br /> 1 p lice Name shown below) <br /> ) <br /> Individual () Partnership () Corporation Cr— s-1) (� <br /> Individual, Partnership Stt (� r -e J �.. , � LCD <br /> Or Corporation Name: ► W ax J 62-- <br /> Physical Andress: I 7 (QD O VA t t�,n eov Cr c is (�Jt. - Ft ? 7 66 s <br /> ) <br /> Mailing Address: 1" got 60)L 34 C►r r'-rL. - 1 - 71/4 -, - 5 3 <br /> Telephone: (9 6 3 DS 5 D. <br /> a ✓ <br /> List Name/Address: (a) Of all Partners OR (b) Corporation President and Secretary. <br /> 1) 00''k. Sh s C 3 33 k r tea � �i )/ 7 7 <br /> N , � qt �p <br /> 2) ^ O j � `� - r ti • e r 1 333 �.u,.�n tY t i Oro st 1-) 5 <br /> Name • ' • :. City /State/2 <br /> 3) <br /> Name Address City /State/Zip <br />