Fillable TAXI VEHICLE PERMIT Fillable APPLICATION FORM 2019 (City of Oakland)

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TAXI VEHICLE PERMIT Fillable APPLICATION FORM 2019 (City of Oakland)

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The TAXI VEHICLE PERMIT Fillable APPLICATION FORM 2019 (City of Oakland) form is 2 pages long and contains:

  • 1 signature
  • 14 check-boxes
  • 85 other fields

Country of origin: US
File type: PDF

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1
TAXIVEHICLEPERMITAPPLICATIONFORM
APPLICANTINFORMATION:
Name:
Address:
City/Zip:Phone:

EmailAddress:
Ifapplicantisnotanindividual,pleaseselectfromthefollowingandattachallsupportingdocuments:
IndividualPartnershipCorporationLLCOther
StateofIncorporationorLLC:______________________
CaliforniaSecretaryofStateEntityNumber:_______________________
TotalNumberofVehiclePermitsDesired:
ListindividualsassociatedwithApplicantCompany,i ncludingbutnotlimitedtoowners,boardofdirectors,
members,officersandexecutives.(Pleaseuseadditi onalpagesifneeded)
Name:
Address:
City/Zip:Phone:
Title:
Emailaddress:
Relatedtoanothervehiclepermitholder?YesNoIfyes:WhichCompany:
Name:
Address:
City/ZipPhone:
Title:
Emailaddress:
Relatedtoanothervehiclepermitholder?YesNoIfyes:WhichCompany:
Name:
Address:
City/Zip:Phone:
Title:
Emailaddress:
Relatedtoanothervehiclepermitholder?YesNoIfyes:WhichCompany:
CITYOFOAKLAND
250FRANKH.OGAWAPLAZASTE1333
OAKLAND,CA94612
TAXIDETAIL‐510‐238‐6914
2
ProposedFLEETMANAGEMENTPERMITTEEINFORMATION:
FLEETMANAGEMENTCO.NAME:
FLEETMANAGER:
Address:
City/ZipPhone:
Email:
Listthevehiclepermitnumberscurrentlyheldbyapplicant,ifknown.
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




Signatureofapplicantorofficerauthorizedtosignforapplicant:
_____________________________________________________________________________________
NameprintedSignature
Date:_____________________________________
NOTE:Bysigningabove,IacknowledgemyunderstandingthattheCity’sreceiptandprocessingof
informationonthisformdoesnotconstitut eorguaranteeissuanceorrenewalofaTaxiVehicle
Permit.
CompliancewithallotherrelevantrequirementsofOaklandMunicipalCodeChapter5.64isrequired
beforeissuanceorrenewalofaTaxiVehiclePermit.

CITYUSEONLY:DATE RECEIVED: TIMERECEIVED:
ApplicantInformation
SupportingDocuments
FleetManagerInformation
By:____________________________________________________ _______________________________
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TAXI VEHICLE PERMIT Fillable APPLICATION FORM 2019 (City of Oakland)

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Completed 23 July 2020

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