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<br />Wrecker Permit Application <br /> <br />Page 2 <br /> <br />IT Vehicle"" ""7" by the ApJiicant, list vehicle owner's ,name and address: <br /> <br />1) Cht1~j,p tfinJs l/S~I pJ. L. LlJfu,rTt.. rIKFr.J 77>7{ <br />Name Address City: tate/Zip <br /> <br />tlfdI.. j/:..JJ 1/"-:1-/ Ill. 1-. Uff?~ leY-/Y' 77j'71 <br />Name Address City/State/Zip <br /> <br />2) <br /> <br />3) <br /> <br />Name <br /> <br />Address <br /> <br />City/State/Zip <br /> <br />NOTE: H the towing vehicle is operated under the terms of a contract with some company <br />other than the owner, a copy of the contract shaD 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 m. Section 78-297. shall be cause for the <br />suspension of all pennits held by such corpoxation 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 />x __ X <br />X__-4 .. ~-~ <br /> <br />~'. - - - . -by Cmporntion Secmmy*" <br />***If Corporation. affix corporate seal to this application <br /> <br />SWORN AND SUBSC~~ to befol me, the undersigned authority, by the above <br />named person, this the day of '.UA'.A- . ~~(, . <br />V <br /> <br />X J~cf~&4~ <br />Notary Public or the State of Texas <br /> <br />:\\,",,,,,,,, <br />.,:....,~"',.fll"" <br />~..~'~ <br />~L~.J.] <br />~,:l"liir\.~~.$' <br />"",..",,\: <br /> <br />DONNA K. EDMONSON <br />Notary Public. State of Texas <br />My Commission Expires <br />April 18. 2009 <br />