VEHICLE STORAGE RATES REQUIREMENTS …

1 VEHICLE STORAGE RATES REQUIREMENTS APPLICATIONK-89 REV. 7-2018 STATE OF CONNECTICUTDEPARTMENT OF motor VEHICLESDEALERS AND REPAIRERS SECTIONOn The Web At BE FILED WITH THE DEALERS ANDREPAIRERS DIVISION - WETHERSFIELDTO: department OF motor VEHICLES, DEALERS AND REPAIRERS SECTION, 60 STATE STREET, WETHERSFIELD, CT 06161 STORAGEAREASTORAGECHARGESPER NAMEBUSINESS ADDRESSDEALER/REPAIRER LICENSE NUMBERNUMBER OF WRECKERSLIST WRECKER REGISTRATION PLATE NUMBERSADDRESS OF STORAGE AREA IF DIFFERENT FROM BUSINESS ADDRESSOPERATING HOURS OF STORAGE AREADAYS AND HOURS WHEN VEHICLE CAN BE CLAIMED BY CUSTOMERNAME OF LICENSEE (Please Print)SIGNATURE OF LICENSEEXIS THE STORAGE AREA PROPERLY ILLUMINATED (Sufficient Light to Illuminate STORAGE Area)YESNOIS THE STORAGE AREA FENCED?IF YES, DOES THE FENCE HAVE A LOCKED GATE?YESNOYESNOIF STORAGE AREA IS FENCED, TYPE OF FENCEIF STORAGE AREA IS FENCED, HEIGHT OF FENCETYPE OF CONSTRUCTION OF BUILDING IN WHICH VEHICLES ARE STORED ( , Wood, Cement, Brick, etc.)

2 TYPE OF FIRE PREVENTION SYSTEM OR DEVICES ( , Sprinkler System, Extinguishers, etc.)TYPE OF HEATING SYSTEM (If Any)ITEMTYPE OF SECURITY ALARMOR SECURITY DEVICES(Alarms, Guard, etc.)INSIDE BUILDINGOUTSIDE BUILDINGOUTSIDE (Fenced, Lighted, and Protected)NUMBER OF VEHICLESWHICH CAN BE STOREDLENGTH OF VEHICLEINSIDE BUILDINGOUTSIDE (Fenced, Lighted, and Protected)OUTSIDE BUILDINGLESS THAN 20 FEET20 FEET THROUGH 32 FEETOVER 32 FEET5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESS5 DAYS OR LESSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYSMORE THAN 5 DAYS$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAY$ PER DAYDATE SIGNEDI HEREBY ATTEST TO THE FACT THAT I WILL COMPLY WITH THE STATE STORAGE RATES .