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COUNTY OF HAWAII
MASS TRANSIT AGENCY
TAXI LICENSE RENEWAL APPLICATION


1. Name of Applicant(s):
2. Doing Business As (dba):
(same as roof sign)
3. Mailing Address:
4. Physical Address:
5. Home Phone: Business Phone: Cell Phone:
6. G.E. License No.: CH No.:
7. Applicant is: ? Corporation ? Partnership ? Single Proprietorship ? Other
8. If Corporation, unincorporated association, or partnership, names and addresses of officers
and directors:

9. Primary geographic area served:
10. Days and times of operation:
11. Vehicle Description: Lic No.: Yr. Make Model:
12. Name(s) of driver(s) if any:
13. Zoning Verification: Attached copy of Zoning Verification (Attachment B)

I, the undersigned official of the above company, state that the above and attached information is
true and correct. I will notify the Mass Transit Agency immediately, if any of the above
information changes.


Date:
Signature:
Title:
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ATTACHMENT B
TO:
Planning
Director
FROM: Mass
Transit
SUBJECT: Zoning
Verification
Certificate of Public Convenience & Necessity
Application for Taxicab License & Renewals

Applicant and dba
has applied for: ? Certificate of Public convenience & Necessity
? Application for Taxicab License

Located at
Tax Map Key: Applicant Plans
(describe the use)


(Lower half to be completed by Planning Department)


PERMITTED UNDER:

1. County zoning, which is .
2. Comments:
.
NOT PERMITTED:
Date:
Planning Director


Note: Applicant must complete the upper half of this form for the Planning Department to certify the
zoning. This form must be submitted with the Application for Certificate of Public Convenience &
Necessity and for Taxicab License Renewal.

Hilo ? Aupuni Center, 101 Pauahi St., Suite 3 ? 961-8288
Kona ? 75-5706 Kuakini Hwy., Suite 109 ? 327-3510

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INSTRUCTIONS
1. Make sure your taxicab has a roof sign, which may be a dome light sign. The company name on
the roof must be the same as the ?dba? shown on your application for taxi license. If a company
name is shown anywhere else on your vehicle, it must also be the same as the ?dba? on our records.

2. Obtain a police inspection for your vehicle. The police department has the inspection forms. Call
to set up an appointment before taking your taxicab in for inspection.

Hilo ? Driver?s License Dept. ? 961-2223
Kona ? Driver?s License Dept. ? 327-3580

3. Complete the enclosed application form. One application must be completed for each taxicab you
you operate. Include your General Excise Tax License No.

4. Complete and attach copy of Zoning Verification (Attachment B) for verification with the Planning
department.

5. Send all required documents (see checklist) to the Mass Transit Agency, 25 Aupuni Street,
Hilo, Hawaii 96720 by June 30, 2009.

6. Annual license fee of $120.00 per taxicab, payable to Mass Transit.
CHECKLIST
1.
Completed application form
2.
Zoning Verification
3.
Taxicab Inspection Form
4.
G.E. License No.
5.
Copy of the current Certificate of Registration and safety check.
6.
Certificate of Liability Insurance showing County of Hawaii as policy holder (not as co-
Insured) and containing a provision that coverage will not be reduced or cancelled without
30 days prior written notice to the Transit Administrator. Coverage requirement is
$100,000/$300,000 bodily injury/death, and $50,000 property damage. Insurance coverage is
on a fiscal year ending June 30.
Please call the Mass Transit Agency at 961-8744 if you have any questions, or would like to schedule
an appointment.

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