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CITY OF LA. PORTS <br />APPLICATION <br />(Fee Changes per Ordinance #05-2537; Eff. 10-01-05) <br />NEW* Emergency Auto Wrecker Annual Permit <br />Permit Application Fee paid at City Secretary's Offiee -New Auto Wrecker Permits Request: $150.00 <br />(HOrE: *WRECKER, CONMUTTRE APPROVAL REQUUMID BEFORE ISSUANCE) <br />City Secretary Office (CSO) advises Inspection Services Division (ISB) when a request is <br />subndtted/paid for. CSO provides ISD with proposed yard location (must be within our city <br />limits). IS17 performs inspection -to see if yard complies with zoning/screening requirements and <br />advises CSC? of Endings (in writing). CSO advises Committee IS&mbers. <br />( ) RENEWAL - Emergency Arta Wrecker Annual Permit <br />( ) 'Towing Vehicle Annual Pewit (Non -Emergency) <br />Annual Fee*: $75.00 Per Vehicle Ownership Try. er Fee**: S25.00 Per Vehicle <br />Dote: Permit fee c2r be Pro -Rated by the Month; $5.25 per month) <br />`T A permit issaed is personal to the owner and is NOT wm&rable between owners <br />ydthoLA ffie express approval of the Wrecker Committee. <br />ALL PERMITS EXPM ON DECKMER 3IgT OF EACH YEAR <br />Company Name to be Shown on Permit: lrl us-\ti iaALuc <br />(ff other than Applicant Name shown. below) <br />Individllai ( ) <br />Individual, Partnership <br />Or Corporation Name: <br />Physical Address: <br />Mailing Address: <br />Telephone. <br />List N e/A€idress: (z <br />l) &1k: <br />Partnership ( ) <br />Corporation. (j(� <br />LaBbyls <br />T Q- q03 a1990 <br />Of all Parrtaus OR (b) Corpomtionr President and �Secretary. <br />Name I Address <br />2) <br />Name <br />3) <br />Name <br />Address <br />Address <br />City/State/_7ip <br />City/state/zip <br />City/Sta&Zip <br />)`-7 5 '7 <br />