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<br />Wrecker Permit Application <br /> <br />Page 3 <br /> <br />FOR CITY USE ONLY <br /> <br />THE FOLLOWING IS REQUIRED BEFORE ANY PEllMIT(S) IS ISSUED: <br /> <br />Certificate oflnsmaDce on an listed wrecker(s) <br />Combined Single Limit (CSL) Liability as follows: <br />$300,000.00 - If Gross Vebicle Weight is 26,000 lbs. Or less <br />$500,000.00 - If Gross Vehicle Weight is over 26,000 lbs. <br /> <br />Confinnation that the Applicant has no outstanding Taxes <br /> <br />Wrecker Inspection Memo lI~~ed by LP Police Department <br />(Applies to Emergency Auto Wrecker Permit Only) <br /> <br />Permit No.(s) Assigned: <br />Date Issued: <br /> <br />Fee(s) Collected: <br /> <br />Fee Based on Nmnber ofVebiclesfPermits <br /> <br />Receipt Number: <br />Oetk Initials: <br /> <br />Date City SecretaIy was Provided Written Confirmation of Permit IssuanceIRenewa: <br />Date Police Dept. Was Provided Written Co.ufU.J.J.Jation of Permit IssuancelR.enewa1: <br /> <br />Revision: 11121120Q5 <br /> <br />S:\CPShare\Inspeclicms\Wrecker Permit Applica!ion.doc <br />