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HomeMy WebLinkAboutApplication APPLICANT 1/31/2023;City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 i PNINOFI6 kLID PERMIT REVIEW INTAKE FORM (City Staff completes form) Permit Type De t of Motor Vehicles -New: ❑ Land Use Com atibilit Stat t• x X P p Y State . city. Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑ Project Information Applicant Name: Phone: 541-726-7778 Company: Perlenfein Inc. Address: PO Box 640 Corvallis OR 97339 Property Owner: 3000 Main Street LLC Phone: Company: Cell: Address: 635 NW Rondo Street Albany,OR 97321 ASSESSOR'S MAP NO: 17023100 TAX LOT NOS : 00701 Property Address: 3000 Main Street S rinfield OR 97478 Description of Proposal: DMV Location Approval for Dismantler License Renewal Record Information Record No: 811-23-000018-TYPI Date Received:01/31/23 Application Fee: 365.00 Technical Fee: $18.25 TOTAL FEES: $383.25 Assigned Planner:L. Miller Revised 11.2.11 Id Coroorate mailing address:• PO B. E40 ! Larvallis, QR 97339 January 25, 2023 City of Springfield 225 5'h St. Springfield, OR 97477 Attn: Liz 541-726-2301 Hello Liz! Ph: 541-757-0456 AUTO WRECKING Fax: 541-738-4402 W W W.AUTOWRECK.INO.COM Please see attached check for $383.25 to cover the fees regarding the Local Government Approval for our Wrecker License Renewal #WR2386. Please complete and sign off on the included application. A returned stamped envelop has been included for return of the signed application. Please email a copy of the signed application to kimberly.nugent@autwreckine.com. Regards, /--y ti-c�-f- Kimberly Nugent I Accounting Manager B & R Auto Wrecking PO Box 640 Corvallis OR 97339 541-207-9018 (Office) Kim berlv.N uaent Cala utowreckine.co m APPLICATION FOR ANNUAL ICERTIFICATE NUMBER WR2386 SUPPLEMENTAL BUSINESS CERTIFICATE EXPIRATION DATE AS A DISMANTLER OF MOTOR VEHICLES OR •"`.... . SALVAGE POOL OPERATOR FEE: $500 • PLEASE TYPE OR PRINT LEGIBLY WITH INK. • ANY ALTERATION OF LINE 2 VOIDS LOCATION APPROVAL. ❑ ORIGINAL Q RENEWAL BUSINESS NAME BUSINESS TELEPHONE Perlenfein,Inc. (541 )726-7778 SUPPISMENTAL LOCATION (STREET AND HUMBER) CfrY COUNTY LPCOOE 3000 Main Street Springfield 20 97478 SAM BUSINESS LOCATION ADDRESS CITY COUNTY 21P CODE MAILING ADDRESS CITY COUNTY STATE 9 PO Box 640 Corvallis Benton OR 73 97339' a) THE DIMENSIONS OF THE PROPERTY ON WHICH THE BUSINESS IS LOCATED ARE 2.5 Acres ft. X ft. b) ORS 822.115(4) requires applicants to file a description of the location of the dismantling yard. Accordingly, please submit a plat map or similar description of the location of the premises. LOCAL GOVERNMENT APPROVAL (CITY /COUNTY) By signing this application the City or County authorizes a dismantler business to be conducted at the location listed on Line 2 of this application. If a dismantler business cannot be conducted at that location, or if any of the conditions below are not met, do not sign this approval. 1 represent an incorporated city with a population of 100,000 or more. By signing on Line 8, 1 comfy that pursuant to ORS 822.110(1)(a) the address listed as the place Of business to be approved for use in the motor vehicle dismantling business is coned for industrial use or subject M another mning classification that permits the type of business conducted by the dismantler. 1 represent a County, or an incorporated city with a population of less than 100,000. By signing on Line 8, I certify the following:CITY A/I OF THAT THE GOVERN ING BODY OF THE NC UNTY <T�'I \Il l✓\ HAS: A) APPROVED THE APPLICANT AS BEING SUITABLE TO ESTABLISH, ♦ PLACE STAMP OR SEAL HERE MAINTAIN OR OPERATE A MOTOR VEHICLE DISMANTLING BUSINESS (ORIGINAL APPLICATIONS ONLY). B) DETERMINED THAT THE LOCATION OR PROPOSED LOCATION MEETS THE REQUIREMENTS FOR THAT LOCATION UNDER ORS 822.110. C) DETERMINED THAT THE LOCATION DOES NOT VIOLATE MY ANMfr`JF[1 APPLICABLE PROVISION OF ORS 822.135. cii { yY ,;� n{T+GfIEID D) APPROVED THE LOCATION AND DETERMINED THAT THE LOCATION COMPLIES WITH ANY REGULATIONS ADOPTED BY THE JURISDICTION UNDER ORS 822.140. APPRDYED ❑ Restrictions on the location approval are in an attached leder from the CRY OF SPRINGREID zoning authority. I ALSO CERTIFY THAT I AM AUTHORIZED TO SIGN THIS APPLICATION AND AS EVIDENCE OF SUCH AUTHORITY DO AFFIX HEREON THE SEAL OR STAMP OF THE CITY OR COUNTY. —2 OF O-ERNMENT IIFIC� TnLEftl�� YY (H✓II)E IIS �Jol SIGNATURE ' OFFJCML DATE X 4 al