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HomeMy WebLinkAboutApplication APPLICANT 10/26/2021City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 PERMIT REVIEW INTAKE FORM k LD (City Staff completes form) Permit Type Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: ❑ City: Dept of Motor Vehicles -Renewal: ® Zoning Verification Letter: ❑ UGa: ❑ Project Information Applicant: Ruben Bahena Phone: 541-579-9966 Company: Bahena's Family Auto Sales Email: Address: 3205 Main, Springfield, OR 97478 Property Owner: WISEASSCO LLC Phone: Company: Cell: Address: PO Box 310, Springfield, OR 97477 ASSESSOR'S MAP NO: 17-02-31-31 TAX LOT NO(S): 5600 Property Address: 3205 Main St. Description of Proposal: DMV Renewal Record Information Record No: 811-21-000279-TYP1 Date Received: 10/26/2021 Application Fee: $348.00 Technical Fee: $17.40 TOTAL FEES: $365.40 Assigned Planner: Drew Larson Revised 11.2.11 Id 10 11 APPLICATION FOR THREE YEAR VEHICLE DEALER CERTIFICATE AS A DEALER OR REBUILDER OF VEHICLES CUSTOMER NUMBER EFFECTIVE DATE E%PIRATION DATE DEALER NUMBER ❑ORIGINAL ❑ RENEWAL If this is a renewal; do not complete the fee information. Use the attached CERTIFICATE FEE billing list to Calculate your fees. The billing list MUST be submitted with your renewal application. LATE FEE Original Certificate (Includes oneSUPPLEMENTALS USE CALCULATION SHEET PROVIDED Additional Locations DO NOT FEE CALCULATOR ON HENEWALPLATEB (Supplemental Application Form 7. location) APPLICATION, FOR NEW APPLICANTS ADDITIONAL PLATES Additional plates 12" If 6" ONLY TOTAL $ (Twosizes, standard and small, available] > TEMPORARY PLATES BUSINESS NAME AND ADDRESS Any alteration of Line 3 voids location approval. ANT LEGAL Na;FF AeCn (OWN6age.S�D.ORCORPORAnON NAME) FEDERAL ID NUMBER (FEIN) OREGON REGISTRY fIFLLC OH COBPORAPON) tSn BUSINESS NAME (IF ASSUMED BU NESS NAM ,FILL IN REGISTRY NO.) OREGON REGISTRY NO. BUSINESS TELEPHONE LaCnYL.PJA.A f t a S r L L• e- ,S41 MAIN BUBINE55 LOCATION (B�REEE�� DNUMBER) OITY '2-u ZIPCODE COUNTY 95 g.ALA sk S aN Y- La^-e- MAILINGADDRESS CITY STATE [IP CODE EMAIL TYPE OF OPERATION ff oMoiannn, list he slate under rmich business is incoporatW: CHECK ORGANIZATION TYPE: ❑ Individual ❑ Partnership LLC ❑ Corporation: +.I/we primarily sell: ❑ New Vehicles d Vehicles I'/ we are a franchise dealer: Yes H "Yes," name the makes I /we sell NEW RECREATIONAL VEHICLES: [-]Yes o IF "YES," SERVICE FACILITY LOCATION (STREET AND NUMBER) CITY ZIPCODE LOCATION APPROVAL (If renewal, required only if dealer Is changing business location) CertGcation of local zoning. ORS 822.005 requires a vehicle dealer certificate, 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. The approval below should be based upon whether the applicant can do ANY of the activities listed in (a) through (c) above under applicable ordinances, at the location of the business given on Line 3. Pursuant to ORS 822.025, applicant shall meet requirements below. As the zoning official for the jurisdiction where this business is located, I verify by my signature that the location of this business as stated an this application complies with any (and use ordinances of the junsdicclion pursuant to ORS 822.025. CITY OF: ❑COUNTY OF: TELEPHONE NUMBER "t )3b_16D PRIM NAMEssu. TITL yr A DATE X Dp V Raps stamp or seall here V ❑ Check box if restrictions on the location approval are in an attached letter from Ap(>RpyEp the zoning authority. CITY OF 6PRINGFlEW Paas 1 Cin