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Wrecker Permit Application <br />Year <br />Vehicle Information: <br />Motor/I.D. # <br />Page 2 of 3 <br />License # <br />Vehicle to be Operated by: Business Owner -or- bon�einploye <br />Ve icle Is: caned -or- Rented -or- d <br />NOTE: If not owned by applicants a copy of the vehicle rental or lease agreement must be provided. <br />Agreement Provided; Yes, -or- <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 (t 0) days after the change, and such new officers or partners shalt 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 certi7thatthestatements contained in this application are true and correct to the best <br />of my vte ge. - <br />x x <br />vidual Partner <br />Corporation President attested by Corporation Secretary*** <br />***If Corporation, affix corporate seal to this application <br />SWORN AND SUBSC to beforre�.me, the undersi ed authority, by the above <br />named person, this the i�7�ay of h"eb � ��� <br />I�Fo Public for the Sta e of Tex96 <br />Ic <br />SOPNIAG. RAlAREZndvycr tbnrq t$vlCw.assanE.pref t. � SEPTEMBER 10, 2013 <br />