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<br />CITY OF LA PORTE <br />APPLICATION <br />/ (Fee Changes per Ordinance #05-2837; Eft 10-01-(5) <br /> <br />(0' Emergency Auto Wrecker ~ Permit <br /> <br />~ c.~: : ..,~:" ..;:;.~. '.~ \.i ~~..,. <br /> <br />JUN ? 0 2006 <br /> <br />l. ," ~ .~. ::' :;: ~"_:. ::.~ .7E'.,~.. ,:\ ~'.~ <; :" 5 <br />t.../:. ~.. ~~..-;:-. <br /> <br />* <br />** <br /> <br />r,{UJO~W~ <br /> <br />4fpl: c.rttvD,J <br /> <br />$25.00 perve.~t/ljlj D ~ feadi~c <br /> <br />Note: Permit fee gm be Pro-Rated by the Mo~ $6.25 per month) <br />A permit issued is personal to the owner and is not transferable between owners 00.0 I j c Jt4 r"O y1 <br />without the express approval of the Wrecker Committee. ' -, r r <br /> <br />$75.00 Per Vehicle <br /> <br />Ownership Transfer Fee**: <br /> <br />(v( <br /> <br />Towing Vehicle Ammal Permit (Non-Emergency) <br /> <br />Annual Fee*: <br /> <br />Permit Application D~it Fee for New Auto Wrecker Permits: $150.00 <br />ALL PERMITS EXPIJ.Ur, ON DECEMBER 31ST OF EACH YEAR <br /> <br />Company Name to be Shown on Permit: ~// A ;leG: r; I?. f) <br />(If other than Applicant Name shOwn below) <br /> <br />Individual ( ) <br /> <br />Individua4 Partnership <br />Or Corporation Name: <br /> <br />Partnership ( '-'Y' <br /> <br />Corporation ( ) <br /> <br />Telephone: <br /> <br />Rt;'/irllJ/t.E Fo R D <br />("jj NEW J-/wf <br />. <br /> <br />5" It fr? E <br />dt/ t/7/- IbCjd.. <br /> <br />I L/ t? 5"0 t/T 1+ <br />tit fodf.li. "IX. 7757/ <br /> <br />Physical Address: <br /> <br />Mailing Address: <br /> <br />ListNamelAddress: (a) OfallPartncrs OR (b) CorporationPresidentandSecre1ary. <br /> <br />l)~tpHJ PoJn~10 ffY)SS;r;iY-yJ .1151';1 <br />hfl6?)~ ~Q I 011b fY) j&'S~ty/s~p '7~57o <br />O' /) I N __ Address Ci /StatelZip <br />Un...[<t.~~ J ,.,.Jl. Uo<1 uor.urJ(,.J,- ~llt.,. rJA6U((' t t~ ..,.-x.. 77573 <br />N~ Address City/State/Zip \ , <br /> <br />2) <br /> <br />3) <br /> <br />List AD Vehicles Needin2 a Permh: <br /> <br />1) 0 <br />Year <br /> <br /> <br />2) <br /> <br />01 L711e"Jf ,#iVL? _ <br />Year Make/Model MotOLIJ:.D. # <br /> <br />--.. ~/5 .s0..D <br />License # <br /> <br />3) 99 r?H'EJ/ ...:r?~.o <br />Year Make/Model <br /> <br /> <br />.' <br />