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08-23-16 Wrecker Committee Meeting and Public Hearing
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08-23-16 Wrecker Committee Meeting and Public Hearing
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La Porte TX
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Agenda PACKETS
Date
8/23/2016
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..JL #: 000007 E <br />.t JESS NAME: INDUSTRIAL TRANSPORTATION & TO ,2015 <br />_,., ; <br />$� yh <br />Wrecker Permit Application Page of <br />Vehicle Information: <br />J9q� licw l� r <br />Year Malc 1 odel Motor/[.D. # � License # <br />Vehicle to be operated.bw Business Own -or- bona fide employee <br />Vehicle is. Owned -or- Rented -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 applicable to <br />motor vehicles and understand that upon my failure to so obey such laws that my permit may be revoked or suspended <br />without.notice. <br />I understand that all changes of officers or partners shall be reported to the City Secretary within ten (10) days <br />after the change, and such new officers or partners shall individually file applications certifying to their individual <br />qualifications within such time. The failure to certify within such time or to possess such qualifications required of such <br />persons under Article lit, Section 78 297, shall be cause for the suspension of all permits held by such corporation or <br />partnership. <br />I hereby certify that all the statements contained in this application are true and correct to the best of my <br />Knowledge. <br />X x <br />In ' !dual Partner <br />C m X <br />Corporation President attested by Corporation Secretary*** <br />***If Corporation, affix corporate seal to this application <br />S1J11U �ND SUBSCRIBNO( <br />before me, the ersigned authority, by the above named person, <br />thist day ofAA X) <br />f <br />iAH <br />�ttzr;a E u'' (,, t + x� <br />IA P1i <br />"Notary Public W the State of Texas <br />
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