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<br />Wrecker Permit Application <br /> <br />Page 2 of3 <br /> <br />List Vehicle Needin2 a Permit: <br /> <br />Year Make/Model <br /> <br />Motor/LD. # <br /> <br />License # <br /> <br />If Vehicle is not owned bv the Applicant, list vehicle owner's name and address: <br /> <br />1) <br /> Name Address City/State/Zip <br />2) <br /> Name Address City/State/Zip <br />3) <br /> Name Address City/State/Zip <br /> <br />NOTE: If the towing vehicle is operated under the terms of a contract with some company <br />other than the owner, a COpy of the contract shall be attached to this application. <br /> <br />I hereby agree to obey the provisions of the City's rules and regulations, ordinances and statutes <br />applicable to motor vehicles and understand that upon my failure to so obey such laws that my permit may <br />be revoked or suspended without notice. <br /> <br />I understand that all changes of officers or partners shall be reported to the City Secretary within <br />ten (10) days after the change, and such new officers or partners shall individually file applications <br />certifying to their individual qualifications within such time. The failure to certify within such time or to <br />possess such qualifications required of such persons under Article IIL Section 78-297, shall be cause for the <br />suspension of all permits held by such corporation or partnership. <br /> <br />I hereby certify that all the statements contained in this application are true and correct to the best <br />of my knowledge. <br /> <br /> <br />:/aa~ : <br /> <br />, Corporation Pfesident (<ittested by Corporation S etary*** <br />***If Corporation, affix corporate seal to this application <br /> <br />SWORN AND SUBSCRIBED to befor~ undersigned authority, by the above <br />named person, this the .3t>s(Ldayof , ~? . <br /> <br /> <br />:. r ~:VVI'"," <br />: I~~~';~" .f'~<<\ JUDY ROYAL <br />;!~ i. ; ! Notary Public. State of .,. <br />.. ':o?:. .""~ . lexas <br />; <,.:,';;\\~~$ My CommIssion Expires <br />...;'"11"'" November 20,2010 <br />