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APPLICATION <br />for <br />Shuttle Service Permit <br />City of Paris, Texas <br />TRADE (CORPORATE) <br />NAME: <br />ADDRESS: '�! 1 75_x'2 N� S-7 CITY: �%7'��5 STATE: <br />ZIP: TELEPHONE: 0 ?) 7,72, ?fy <br />/� "�N yo r >0lwy -�- <br />ADDRESS: i....j % 2 /V T CITY: (l <br />ZIP : TELEPHONEA 7 -Z2, eG4pll <br />CORPORATE OFFICERS: <br />LIST ALL GUKPUKA 1 t Ul-NIU KJ <br />nFSCRIRE SERVICES TO BE OFFERED <br />STATE: <br />LIST INSURANCE COMPANY INFUKMA 1 wry <br />INSURANCE COMPANY POLICY # <br />ADDRESS CITY f' '�' STATE <br />TELEPHONE ( L- .AGENT NAME <br />ATTACH A COPY OF THE "CERTIFICATE OF LIABLITY INSURANCE" TO COMPLETED APPLICATION. <br />Ensure the Insurance Companyalso supplies a schedule of the currently covered vehicles to include vehicle year, <br />make model, VIN, and license plate number. Attach a copy of the schedule to the completed application. <br />