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APPLICATION FOR TAXICAB (VEHICLE) LICENSE

  1. Please bring completed application to City Police Department for approval.

  2. APPLICATION IS HEREBY MADE FOR A LICENSE PERMITTING OPERATION OF TAXICABS ON THE STREETS OF THE CITY OF PLATTSBURGH, N.Y.

  3. First, MI, Last

  4. Street #, Street Name, City, State, Zip Code

  5. (Area Code) XXX-XXXX

  6. HAVE YOU EVEN BEEN ARRESTED?

  7. Explain

  8. DO YOU HOLD A VALID N.Y.S. LICENSE AS PER SECTION 501 OF THE VEHICLE AND TRAFFIC LAWS OF THE STATE OF NEW YORK?

  9. HAS EITHER BEEN SUSPENDED OR REVOKED?

  10. Date: ___________________________________________________

    Why: ___________________________________________________

    Where:__________________________________________________

  11. Make of Car

  12. MM-DD-YYYY

  13. Requirement

  14. MM-DD-YYYY

  15. APPROVAL DECISION:

  16. Leave This Blank: