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Wrecker Permit Application Page 2 of 3 <br /> List Vehicle Needing a Permit: <br /> doc C o 11111111111111111111111111. T771 '1 F <br /> Year Make/Model Motor/I.D. # License # <br /> If Vehicle is not owned by the Applicant, list vehicle owner's name and address: <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 /> NOTE: If the towing vehicle is operated under the terms of a contract with some company <br /> other than the owner, a cony of the contract shall be attached to this application. <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 /> 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 111, Section 78 -297, shall be cause for the <br /> suspension of all permits held by such corporation or partnership. <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 /> ,:. ' Partner <br /> X ate-9 • :lam_.. ; . X iL_L • .!.1r .,.A t. <br /> Corporation President attested by Corporation Secretary*** / <br /> * * *If Corporation, affix corporate seal to this application <br /> SWORN AND SUBSCRIB , '► to befo me, the dersigned authority, by the above <br /> named person, this the r7 . . : y of ,) d <br /> VICKIE LAWRENCE X ` <br /> ' My Commission Expires Notary Public for the State of Texas <br /> 74.J August I. 2012 <br />