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Wrecker Permit Application <br />Year Make/Model <br />Vehicle Information: <br />/99 <br />Motor/I.D. <br />Vehicle to be Operated by; Business Owner - -or- <br />Vehicle is: weed -or- Rented <br />Page 2 of 3 <br />bona fide employee <br />-or- Leased. <br />.NOTE: If not owned by applicant, a copy of the vehicle rental or lease agreement must be provided. <br />Agreement Provided: Yes -or- /A <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 (I0) 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 R 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 :M� <br />X <br />Ip'llvidual <br />X <br />Partner <br />X <br />Corporation President attested by Corporation Secretary*** <br />***If Corporation, affix corporate seal to this application <br />SWORN AND SUBSCRID to before me, the undersigned authority, by the above <br />named person, this the % day of �"uar 01 <br />No bhc for the State of Te;i ` <br />•max SOPNIAG.RAMIREZ <br />�...- 51 1::Yary P�t`•G 9eM dTw3 <br />� / YJ Coav s61n Was <br />`.tC SEPT-MBER V,20* <br />