APPENDIX A: TAXICAB PERMIT/LICENSE FORM

TAXICAB PERMIT/LICENSE

TOWN OF BREMEN

PERMIT NUMBER _____________________

DATE ________________________________         EXPIRES __________________________

OWNER’S NAME _______________________________________________

ADDRESS ____________________________________   PHONE ___________________________

FOR OFFICE USE ONLY

PERMIT FEES ______________   CERTIFICATE OF INSURANCE   YES ______   NO ______

NUMBER OF VEHICLES _________________________   FEE ______________

POLICE ANNUAL INSPECTION

ATTACH INSPECTION REPORT FOR EACH VEHICLE

APPROVED BY ______________________________________________   DATE ________________

 

(Prior Code, Ch. 44)