CITY OF MARQUETTE

TAXI CAB COMPANY - LICENSE APPLICATION

NAME OF BUSINESS: __________________________________________________

ADDRESS OF BUSINESS: _______________________________________________

OWNER'S NAME: ______________________________________________________

OWNER'S ADDRESS: __________________________________________________

BIRTHDATE: _____________________DRIVER'S LICENSE # __________________

OWNER'S PREVIOUS EMPLOYER: ________________________________________

BUSINESS PHONE: __________________ HOME PHONE: ____________________

NUMBER OF CABS YOU WILL BE OPERATING: ______________________________

Are there any unpaid or unbonded judgments of record against you?

___________________________________________________________________

___________________________________________________________________

State your experience in the operation of taxicabs both in Marquette and elsewhere: _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________

Owner's signature

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_______________________________ _____________________________

Police Chief Date

_______________________________ _____________________________

City Treasurer Date

_______________________________ _____________________________

Zoning Administrator Date

_______________________________ _____________________________

City Attorney Date

TAXICAB DRIVER LICENSE APPLICATION

NAME: _________________________________________________________

ADDRESS: ______________________________________________________

BIRTHDATE: _______________________ Phone # _____________________

DRIVER/CHAUFFER LICENSE# _____________________________________

SOCIAL SECURITY # __________________(last four digits)

NOTE: YOU MUST NOTIFY US IMMEDIATELY IF YOU HAVE A CHANGE OF ADDRESS OR A CHANGE IN THE STATUS OF YOUR DRIVER LICENSE. FAILURE TO DO SO MAY RESULT IN REVOCATION OF THIS LICENSE.

_______________________ ______________________________

Date Signature

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_____approved CCH____________

_____disapproved LOCAL FILE______

_______________________________ _____________________________

Police Chief Date

____approved

____disapproved

_______________________________ ______________________________

Treasurer Date