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License Period: January 1, through December 31, Name of Applicant/Business: Name(s) of Principal Business Owner(s): Street Address of Applicant: Mailing Address of Applicant: Phone No. of Applicant: Email: Please list vehicle descriptions and license plate numbers of all taxicabs operating under this license: (attach additional sheets if necessary). If the vehicle is not required under State law to have a license place to operate please provide another identifying number (VIN, fleet number, etc). A license plate or other unique identifying number is required. Vehicle Description (year, make, model) License Plate Number Signature of Applicant Date For City Use Only Required Attachments: o Driving record for each taxicab operator o Background check for each taxicab operator o Rate structure o Public liability insurance policy City of Cody Taxi License Application NEW LICENSE License Fee Date Paid License No