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<br />Wrecker Permit Application <br /> <br />Page 3 <br /> <br />FOR CITY USE ONLY <br /> <br />THE FOLWWING IS REQUIRED BEFORE ANY PERMIT(S) IS ISSUED: <br /> <br />Certificate ofInsurnnce on all listed wrecker(s) <br />Combined Single Limit (CSL) Liability as follows: <br />$300,000.00 - If Gross Vehicle Weight is 26,000 lbs. Or less <br />$500,000.00 - If Gross Vehicle Weight is over 26,000 lbs. <br /> <br />Confirmation that the Applicant has no outstanding Taxes <br /> <br />Wrecker Inspection Memo prepared by LP Police Department <br />(Applies to Emergency Auto Wrecker Permit Only) <br /> <br />Permit No.(s) Assigned: <br /> <br />Date Issued: <br /> <br />Fee(s) Collected: <br /> <br />Fee Based on Number ofVehicleslPermits <br /> <br />Receipt Number: <br /> <br />Oem Initials: <br /> <br />Date City Secretary was Provided Written Confirmation of Permit IssuancelR.enewal: <br /> <br />Date Police Dept. Was Provided Written Confirmation of Permit IssuancelRenewal: <br /> <br />Revision: 1112112005 <br /> <br />s: \CPShare\Inspections\Wrecker Permit Application.doc <br />