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Wrecker Permit Application <br />Vehicle Information: <br />Year Make/Model Motor/I.D. # <br />Vebicle to be Operated b Business Owne� -or- <br />Vehicle is: weed -or- Rented <br />Page 2 of 3 <br />License 9 <br />bona fide emplayel <br />-or- Leased <br />NOTE: U not owned by applicant; a copy of the vehicle rental or lease agreement must be provided. <br />Agreement Provided: Yes -or- IA <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 M 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 lmowled e. - <br />X X <br />I vidual Partner <br />Corporation President attested by Corporation Secretary*** <br />***If Corporation, affix corporate seal to this application <br />SWORN AND SUBSCI D to before me, the undersigned authority, by the above <br />named person, this the f -day of <br />_-_ Not - blic for the Sta e of Tex�� <br />� r'µ'�� •'=- 50P}31AG.RRP�IREZ <br />}1E � � 1:;ayPzN=, S,a'.aUTeres <br />Y%_�SGPTE��tr1BEFi k3.2013 . <br />