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P IVED <br />� N � � zo�z <br />By <br />Cl'TY 5(jo '�rz <br />CITY OF TE <br />4A,APPLICATION 4 S <br />(Fee Changes per Ordinance ##05-2837; Eff. 10-01-05) ' <br />` NEW* Emergency Auto Wrecker Annual Permit <br />Y Permit Application Fee paid at City Secretary's Office - New Auto Wrecker Permits Request: Si�O.Qe <br />N(Y IL! *WRECKER *WRECKER COMMITTEE APPROVAL REQUIRED BEFORE ISSUANCE) <br />City Secretary Offee (CSO) advises Inspection Services Division (ISD) when a request is <br />submitted/paid for. CSO provides ISD with proposed yard location (must be within our city <br />limits). ISD performs inspection to see if yard complies with zoniug/screening requirements and <br />advises CSO of findings (in writing). CSO advises Committee Members. <br />() RENEWAL - Emergency Auto Wrecker Annual Permit <br />() Towing Vehicle Annual Permit (Nan -Emergency) <br />Annual, Fees`: $75.00 Per Vehtele Ownership Transfer Fee**: $25.00 Per Vehicle <br />* Note: Permit fee can be Fro -Rated by the Month; $6.25 per month) <br />** A permit issued is personal to the owner and is NOT transferable between owners <br />without the express approval of the Wrecker Committee. <br />ALL PERMITS EXPIRE ON DECEMBER 31n OF EACH YEAR <br />Company Name to be Shown on Permit: <br />Physical Address of Properly Fenced Storage Fa , ty: <br />Z*f5' <br />Ownership of Properly Fenced Storage Facility: <br />Individual V) <br />Individual, Partnership <br />Or Corporation Name: <br />Partnership ( ) <br />6--, or <br />Corporation ( ) <br />Physical Address: "/ rj� 1 fi'g t 1 r 0 4'(, kin 5,101, <br />Mailing Address: <br />]#pI a-f )' % -% 7 <br />Telephone. .-.0 I . . I <br />List Name/Addrass: (a) Of all Partners OR (b) Corporation President and Secretary. <br />I) <br />Name Address <br />Ci /State/Zi <br />�' p <br />2) <br />Hama Address <br />City/State/Zip <br />/State/Zi <br />t3' p <br />3) <br />Name Address <br />/State <br />City/State/Zip <br />t}/zi' _ p <br />