NAME: _______________
ADDRESS: ____________________________________________________________________________
Chauffeur’s Drivers License No.: ______________________________
(If more than one driver, list separately with names, address and license no ... attach list.)
INSURANCE POLICY: _______________________________________________________
STATE INSURANCE COVERAGE: ________________________________________________
______________________________________________________________________________
NUMBER, TYPE AND CONDITION OF EQUIPMENT: _________________________________
______________________________________________________________________________
APPLICANT’S EXPERIENCE IN TAXI BUSINESS: ___________________________________
______________________________________________________________________________
______________________________________________________________________________
REASON WHY CERTIFICATION OF ISSUANCE SHOULD BE ISSUED: (State why Board should issue): ___________________________________________________________________
______________________________________________________________________________
IS REQUEST FOR TRANSFER OF CERTIFICATE OF ISSUANCE: YES ___ NO ____
IF YES, WHO HOLDS CERTIFICATE?
A CERTIFICATE IS NOT TRANSFERABLE WITHOUT THE CONSENT AND APPROVAL OF THE BOARD OF ALDERMEN. CERTIFICATES MUST BE RENEWED ANNUALLY AND ARE BASED ON FISCAL YEAR (June 30 - July 1)
A HEARING IS TO BE HELD BEFORE THE BOARD OF ALDERMEN AND SAID BOARD MAY REQUIRE PUBLICATION WHICH COST SHALL BE PAID FOR BY THE APPLICANT.
DATE: _________ __________________________
SIGNATURE
(Prior Code, § J-II)