HomeMy WebLinkAboutApplication APPLICANT 5/13/2013 ;City of Springfield • • SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477 611111L
PERMIT REVIEW INTAKE FORM (City Staff completes form)
Permit Type
Dept of Motor Vehicles-New: ❑ Land Use Compatibility Statement: ❑ City: ❑
Dept of Motor Vehicles-Renewal: X Zoning Verification Letter: ❑ UGB: X
Project Information
Applicant Name: Joe Sawyer Phone: 541-556-2345
Company: Pac West Auto Sales Cell:
Address: 4055 Franklin Blvd, Eugene, OR 97403
Property Owner: DorMar-Glenwood LLC Phone:
Company: Cell:
Address: 2020 NE 160th Avenue, Vancouver, WA 98684
ASSESSOR'S MAP NO: 17033443 TAX LOT NO(S): 9300
Property Address: 4055 Franklin Blvd, Eugene, OR 97403
Description of Proposal:
Location approval for additional auto dealer added to existing auto lot as a renewal.
Record Information
Record No: Pi 2-mli 3 -(X005 Date Received: 5 I (3 [ LS
Application Fee: $ "D-10 OD Technical Fee: $ ! �`/1O O O
TOTAL FEES: $ c 3`j1 - Ov Assigned Planner: L f Y I ( I 1 f'
Date Received:
MAY 13 2013
Original Submittal
Revised 11.2.11 kl
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APPLICATION FOR
E DMV= THREE YEAR VEHICLE DEALER
' TRANSPORTATION CERTIFICATE
"�""'""`""^ °^E AS A DEALER OR REBUILDER OF VEHICLES
. CUSTOMER NUMBER EFFECTIVE DATE ,I.EXPIRATION DATE DEALER NUMBER �y
Ids ORIGINAL
•
If this is a renewal, do not complete the fee information. Use the attached > I RENEWAL
billing list to calculate your fees. The billing list MUST be submitted with your CERTIFICATE FEE
renewal application. LATE FEE
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Original Certificate (Includes one plate) SUPPLEMENTALS
Additional Locations $ 1,012.00
@$230.00 $ RENEWAL PLATES
(Supplemental Application Form 735-372 required for each location)
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Additional plates 12"x 6" or 7"x 4" @$54.00... $ ADDITIONAL PLATES
(Two sizes,standard and small,available) TOTAL $ .
TOTAL = $ I > TEMPORARY PLATES •
BUSINESS NAME AND ADDRESS Any alteration of Line 3 voids location approval.
1 LEGAL NAME APPLICANT(OWNER,PARTNERSHIP,LLC OR CORPORATION NAME) OREGON REGISTRY NUMBER(IF LLC OR CORPORATION)
1 ( WEST 4r410 5,ew.6ILL
BUSINESS NAME(IF ASSUMED BUSINESS NAME,FILL IN REGISTRY NO.)
2 OREGON REGISTRY NO. BU !NESS TELEPHONE
MAIN BUSINESS LOCATION(STREET AND NUMBER) CITY COUNTY
LA S
3 /O^ N JLinI n} ilb
'ZIP CODE ' COUNTY
MAILING ADDRESS A /J�r C /y' I �.�LI`,� LAVE
4 CITY !STATE?Iii
ZIP CODE(Yl
TYPE OF OPERATION
5 CHECK ORGANIZATION TYPE:I Individual I which bratiness it the state under
I I Partnership LLC which business is incorporated:
�l n Corporation:
6 I/we primarily sell: n New Vehicles tj Used Vehicles
7 I/we are a franchise dealer:
n Yes 21 No If"Yes,"name the makes >
8 I/we sell NEW RECREATIONAL VEHICLES: I I Yes Igi No
IF"YES,'SERVICE FACILITY LOCATION (STREET AND NUMBER) (CITY
ZIP CODE
LOCATION APPROVAL (If renewal, required only if dealer is changing business location)
Certification of Local Zoning and Business Regulatory Compliance. ORS 822.005 requires a vehicle dealer license, unless exempt
under ORS 822.015,for any person who:
(a) Buys, sells, brokers, trades or exchanges vehicles either outright or by means of any conditional sale, bailment, lease,
security interest,consignment or otherwise;OR
(b) Displays a new or used vehicle, trailer,or semitrailer for sale;OR
(c) Acts as any type of agent for the owner of a vehicle to sell the vehicle or acts as any type of agent for a person interested in
buying a vehicle to buy a vehicle.
THE CERTIFICATION BELOW IS TO BE COMPLETED BY THE LOCAL ZONING OFFICIAL. Your approval below should be based
upon whether the applicant can do ANY of the activities listed in (a) through (c)above under your ordinances, at the location of the
business given on Line 3. Pursuant to ORS 822.025, applicant meets requirements below.
As the zoning official for the locality in which this business is located,I verify by my signature below that the location of this business as stated on this application,
complies with any land use ordinances and business regulatory ordinances of the city or county,as appropriate pursuant to ORS 822.025.
CITY ORS i� i ' e I I I COUNTY OF: TELEPHONE NUMBER
r
• (6 i ) _ -.2
SIGNATURE g /Q� , TITLpI a n i er
X 13 'V� & DATE .6 � i L
6 P 4(' stemlD c seed here _
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Date Received: •
APPROVED MAY 1 32013
CITY OF SPRINGFIELD
'35-370 0411 Original Submittal
Page 1
STK n 300171.