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Wrecker Permit Application Page 2 of 3 <br /> Last Vehicle Needing a Permit: <br /> p2Ota T''7 D r <br /> Year Make/Model Motor/I.D. # 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 vehide is operated under the terms of a contract with some company <br /> other than the owner, a copy of the contract shall be attached 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 understand 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 /> x� ,;, ', , . Partner <br /> / / f / <br /> a - • :c .._.A X AL ■ • .[/ .. <br /> Corporation President attested by Corporation Secretary* ** / <br /> * * *If Corporation, affix corporate seal to this application <br /> SWORN AND SUBSCRIBED to befor me, the , unders r authority, by the above <br /> named person, this the 17 day of ,,fit(( . <br /> VtCKtE LAWRENCE <br /> 1V Q f�dI. J)a4ic,LJL <br /> '7��, ttyr co mrrti : :ton Exptre: Notary Public for the State of Texas <br /> A � t �, <br /> August 1, 2012 X <br />