Cobb County Business License Division P.O. Box 649 Marietta ...
Cobb County Business License Division P.O. Box 649 Marietta ...
Cobb County Business License Division P.O. Box 649 Marietta ...
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<strong>Cobb</strong> <strong>County</strong><strong>Business</strong> <strong>License</strong> <strong>Division</strong>Taxicab Company ApplicationRevised 10/10VEHICLE NUMBER: _______9Vehicle Information Form13. Complete the requested information on each vehicle. (Use additional pages if necessary for disclosureon each vehicle.)A. Was the vehicle permitted by <strong>Cobb</strong> <strong>County</strong> last year? Yes ( ) No ( )If yes, please provide the sticker number for this vehicle issued by <strong>Cobb</strong> <strong>County</strong> last year. #________(Failure to provide sticker number will result in a new vehicle sticker charge).B. Make of vehicle: _____________________________Model: __________________Year: ____________C. Vehicle identification number (VIN): ______________________________________________________D. Color: ______________________________________ Tag #: _________________________________E. Indicate the maximum number of seating capacity behind the driver: __________________________F. Is the vehicle a van?___________________________________________________________________G. Name of insurance company holding policy: ________________________________________________Name of agent and address: _______________________________________________________________________________________________________________________________________________H. Policy Number: _________________________________________Expiration of policy: _____________A copy of the insurance card(s) & declaration page as proof of policy, as provided in <strong>Cobb</strong> <strong>County</strong> CodeSection 126-152, must accompany the application on each vehicle operating as a taxicab company for thebusiness.A thirty- day notice must be provided to the <strong>Business</strong> <strong>License</strong> <strong>Division</strong> before a policy on any vehiclelapses or is cancelled.14. Indicate the amount of coverage on this vehicle:A. $__________________ Per death or bodily injury per person – expires _________________________B. $ __________________ Per death or bodily injury per occurrence – expires _____________________C. $ __________________ Per personal property damage – expires _____________________________D. $ __________________ Per personal injury protection – expires ______________________________Upon approval all vehicles must be brought to the <strong>Cobb</strong> <strong>County</strong> <strong>Business</strong> <strong>License</strong> <strong>Division</strong>, 1150 PowderSprings Street, Suite 400, <strong>Marietta</strong>, Georgia 30064 for the sticker to be placed on the vehicle.U:\ComDev\GIS_Section\JosephPowell\contribute\downloads\Taxicabapp10NEWADDFeeIncreaseDRAFT.DOC
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