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“YETIONAL INFORMAT TON

THIS APPLICATION FORM MUST BE COMPLETED IN FULL AND SIGNED.

THO (2) COPIES OF THE PROPOSED SUPPLEMENT OR TARIFF PAGES MUST BE
SUBMITTED WITH THE APPLICATION AND MUST CLEARLY INDICATE WHICH CURRENTLY
FILED TARIFF PAGES OR SUPPLEMENT(S) ARE TO BE CANCELLED OR AMENDED.

READ CAREFULLY THE PROVISIONS OF PART 8 OF THE MOTOR CARRIER REGULATIONS.
NPPLYCATIONN WITH THE REGULATIONS MAY RESULT IN REFUSAL OF THE
APPLICATION.

PUBLIC NOTICE OF THE APPLICATION MUST BE GIVEN AT LEAST THIRTY (30) DAYS
PRIOR TO THE PROPOSED EFFECTIVE DATE, AND SHOULD READ AS FOLLOWS:

TAKE NOTE THAT APPLICATION HAS BEEN MADE TO THE
MOTOR CARRIER COMMISSION FOR A CHANGE IN RATE
SCHEDULE. CHANGES MAY BE EXAMINED AT THE OFFICE

OF THE APPLICANT, SUBJECT TO THE CONSENT OF THE
MOTOR CARRIER COMMISSION,

THE PROPOSED EFFECTIVE DATE IS _October 9/1991 (*)

ANY OBJECTIONS MAY BE FILED WITH: THE OIRECTOR,

MOTOR CARRIER DIVISION, #104 - 4240 MANOR STREET,
BURNABY, B. C. V5G 3X5

ON OR BEFORE __ September 24/1991 (#4)

NAME OF’ APPLICANT
ADDRESS

(*) THIS DATE MUST BE AT LEAST THIRTY (30) DAYS AFTER THE
POSTING OF THE NOTICE AND NEWSPAPER ADVERTISEMENT

(**) THIS DATE MUST BE AT LEAST TWO (2) WEEKS AFIER THE
POSTING OF THE NOTICE AND NEWSPAPER ADVERTISEMENT,
AND AT LEAST TEN (70) DAYS BEFORE THE PROPOSED
EFFECTIVE DATE.

REQUIRES CARRIERS TO ADHERE TO ALL SCHEDULES (RATES FILED WITH.
CARRIER COMMISSION.

er. AO9/ 1991

POSITION HELD — DATE
(IF CORPORATE APPLICANT) |

NOTE: THIS APPLICATION IS TO BE SIGNED BY THE APPLICANT
OR AUTHORIZED REPRESENTATIVE OF THE APPLICANT

MAIL COMPLETE APPLICATION TO:
MOTOR VEHICLE BRANCH