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Wrecker Permit Application <br />Vehicle Information: <br />Year <br />Vehicle to be Operated by: Business Owner -or- <br />Vehicle Is: ed -or- Rented <br />Page 2 of 3 <br />bona aide emplo <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- NIA <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 leilure to certify within 6uch 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 hereb certify that all the statements contained in this application are true and correct to the best <br />of my knowle e. <br />X X <br />In " idual Partner <br />x <br />Corporation President attested by Corporation Secretary's** <br />***If Corporation, affix corporate seal to this application <br />SWORN AND SUBSCRIBED to before me, the dersigned authority, by the above <br />named person, this the / day of F�v-nw <br />1�I My M <br />No Public for th tate of as <br />SOPHIA <br />