Fillable Taxi Cab License Application $5 Each Additional Cab (City of Portage)

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Taxi Cab License Application $5 Each Additional Cab (City of Portage)

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Revised 5/2018
City of Portage Fee: $25 First Cab,
Taxi Cab License Application $5 Each Additional Cab
Application Type:
For Office Use
New
Date:
Renewal
Receipt #
I hereby make application for a Taxi Cab License, subject to Portage Code of Ordinances Sec. 86-31 and
limitations imposed therein.
Owner Name____________________________ Owner Address___________________________________
Business Name__________________________ Business Address________________________________
Date of Birth____________________ Number of Cars____________ E-mail address__________________
Make
Model
Vehicle ID Number
License Plate Number
Name of Liability Insurance Company_______________________________________________________
Amount of Insurance__________________________ Number of Policy____________________________
Please Attach Certificate of Insurance
__________________________________________________________________ ______________
Signature of Applicant Date:
Department
Approved
Denied Reason
Signature
City Clerk
City Treasurer
Police Chief
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Taxi Cab License Application $5 Each Additional Cab (City of Portage)

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Completed 19 January 2021

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