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<br />CITY OF LA PORTE <br />APPLICATION <br />./ (Fee Changes per QrmnlmCP. #05-2837; Eft: IQ-OI-(5) <br />(v{' Emergency Auto Wrecker Ammal Permit <br />() Towing Vehicle Annual Permit (Non-Emergency) <br /> <br />Annual Fee.: $75.00 Per Vehicle Ownersbip Transfer Fee..: <br /> <br />$25.00 Per Vehicle <br /> <br />. Note: Permit fee gm be Pro-Rated by the MODI:h; $6.25 per month) :- <br />.. A permit issued is personal to the owner and is not transferable between owners <br />without the express approval of the Wrecker Committee. <br /> <br />Permit Application Deposit Fee for New Auto Wrecker Permits: $150.00 <br />ALL PERMITS:EXPIRE ON DECEMBER 31st OF EACH YEAR <br /> <br />Compuy Name to be Shown on Permit: /J ~ Ile/,' ~ J.J; n d.r fl; i~j' ,... to J 14 ]2/1 C!.. <br />(If other than ~licaot Name shown below) I <br />Partnership ( ) Corporation (~ <br />Individual. Partnership 4/ _I \ I <br />Or Corporation Name: { , It I)IQ/e.. th~ Lr fa · n T t- I> ~ ~V J;: /II' ~ ;tJ; / <br />tftf-'-'/ ~e~ 15 / (lrF I <br />f?d{ B'J~ e 1"-. '77.>D3 <br />~ ~/- tf79- 0' 'IS- C~ if 10;;" 'l31"/''lSd- <br /> <br />Individual ( ) <br /> <br />Physical Address: <br /> <br />~A.Hl:-g 1"t!~: <br />./II-".,e <br />Telephone: <br /> <br />List NameI~a) Of an Partners OR (b) Cmpomtion PrcsidmI aod s..."""Y. <br />1)/"U4 _C ~J 1/(',,& /Ir:vl /.1. L. LlVq-r~ -rcrx jbf" 77->7/ <br />4 Name d,( / Address,.. . City/State/Zip <br />2) s<< Ue- . ,."J 5 II..> ">f AI. L . l-A,r-r~ '/ eOCtJ.f ? ''>7/ <br />Name Address CitylStatelZip <br />3) <br /> <br /> Name Address City/StateIZip <br />1) {, CIS ~ <br />2) T7() f~g <br />3) <br />Year MakeIModel MotorllD. # License # <br /> <br />