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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 PERMIT(S) IS ISSUED: <br /> <br />/ <br /> <br />Certificate of Insurance 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 />RtCl:" <br />C- /VtD <br />AUS 2 J: " <br />tI !OD6 <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 />Date Issued: <br /> <br />Fee(s) Collected: <br /> <br />Fee Based on Number ofVehicleslPermits <br /> <br />Receipt Number: <br />Cletk Initials: <br /> <br />Date City Secretary was Provided Written Confirmation of Permit IssuancelRenewa1: <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 />