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SCHEDULE A PERMIT NO.

CITY OF PORT COQUITLAM
OVERLOADED/OVERWE | GHT
VEHICLE PERMIT

I. This Permit is issued pursuant to Section 602 (b) of "Traffic
Regulation Bylaw No. 1117, 1971" to permit the operation of -the overloaded or
oversized vehiclee described in this Permit in the manner specified in this
Permit.

Registered owner of vehicie:

Address of registered owner:

Telephone:

‘Vehicle Licence No.:

Description of Vehicle:

This permit covers:

| bversize: Length Width - Height

[_bverweight:

Max. axle weight: Tandem

Total Weight

Permitted dates and hours of operation:

Permitted route over non-arterial highways in the City:
Starting address:

Destination address:

2. Prior to issuance of this Permit a non-refundable permit fee of $50.00 has
been paid by or on behalf of the registered owner of the vehicle.

3. THIS PERMIT ISSUED THE day of , 19 .

Distribution: Copy ! = Applicant
Copy Z - R.C.M.P.

Copy 3 - City

CITY ENGINEER

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