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APPLICATION FOR PERMISSION TO OPERATE A TAXICAB

  1. APPLICATION is hereby made for PERMISSION TO OPERATE A TAXICAB, duly licensed by the City Clerk on the streets of the CITY OF PLATTSBURGH.

  2. First, MI, Last

  3. MM-DD-YYYY

  4. Street Number, Street Name, City

  5. GENDER:

  6. Number, State and Type

  7. If yes, please provide date, location, charge and court.

  8. If yes, give full details

  9. ARE YOU A MEMBER OF THE ARMED FORCES?

  10. ARE YOU A UNITED STATES CITIZEN?

  11. Please provide name and address

  12. HAVE YOU PREVIOUSLY BEEN LICENSED IN THE CITY OF PLATTSBURGH, NEW YORK TO OPERATE A TAXI?

  13. HAVE YOU EVER HAD AN APPLICATION TO OPERATE A TAXI DENIED?

  14. 1.



    2.



    3.



    4.



  15. ______________________________________________________________
    Applicant Signature


    ___________________________
    Date

  16. Please allow 5 to 7 business day for approval/disapproval process. At the end of that time you can contact the City Clerk's office 518-563-7702 to see if your application process has been completed.

  17. APPROVED/DISAPPROVED:

  18. MM-DD-YYYY

  19. Leave This Blank: