CITY OF OAK PARK
LANDSCAPING/SNOW REMOVAL APPLICATION
(Applications must be filed with the City Clerk not less than 14 days prior to the time a license is desired)
Date:
Landscape Snow Both
BUSINESS INFORMATION:
Business Name: Phone:
Business Address:
Website: Email:
OWNER INFORMATION:
Owners Name: Phone:
Owner Address:
Owner Email:
Partnership Corporation
If Partnership, give names and addresses of each partner. If Firm or Corporation, give
NAME OF OFFICERS HOME ADDRESS TITLE
VEHICLE INFORMATION:
Number of Vehicles: Is there an attached Trailer? Yes
No
Vehicle # 1 Vehicle # 2
DRIVER INFORMATION:
Driver # 1 Driver # 2
Year: Make:
Model
VIN No:
License Plate No:
Trailer Plate:
Year: Make:
Model
VIN No:
License Plate No:
Trailer Plate:
Name:
Date of Birth:
Social Security #:
Driver’s License #
State of Issuance:
rivers Lic. # 2
nd
Driver Mich.
Drivers Lic. #
Name_________________________________
Name____________________________
__
Soc. Sec. #_____________________________
I attest that all of the information in this application is true and accurate and that I have attached all of the requisite
information as documented below with a completed application packet.
Completed and signed Application
Copies (color preferred) of Driver’s License for each driver
Printout of each driver’s driving record
Provide a copy of the vehicle registration for each vehicle
Proof of Insurance (declaration page) for each vehicle
Pay fee of $50.00 per vehicle
Signature of Applicant: Date:
The standard wait time for issuance of a license is approximately 14 days for a completed packet, if
the packet is incomplete or additional information is needed that will extend the time period.
DEPARTMENTAL USE ONLY:
Reviewed By: Technical & Planning Yes No
Department of Public Works Yes No
Public Safety Yes No
________________________________________________
Public Safety Records Check Sign Off Date
CLERKS OFFICE USE ONLY:
City Council Meeting Date:
Approved: Yes No
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signature
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