HomeMy WebLinkAboutMiscellaneous Planner 4/9/2021ffiB APPUCATION TO CORRECT DEALER / REBUILDER
\TEHICLE DEALER CERTIFICATE
DEALER NUMBER
DL\(560
EFFECTTVE DATE EPIRATION DATE CURRENT EUSINESS NAMF( i - 1 ' '.O?-\ lkqsn O,v"rcn Ou{rr {rr,,,.,{l tl-L{ Checkthereasonforconecton: DBA UIt\\Ci/fE\+.2,htler_f SUh.,' E Name Change Knoor"*s Change X Add / Rernove Ownera lj org. rsm.iur"-cr,angl"-1 '
!Eq.t[m,'ugEBhr,
lnstructions;
r Tha fee for a conected certitlcata: $30.o Nemc drange and/or address draqe; 830. (Be rure o atffir Bcrd Rider and lneurance Certifcoel.. Organiralional Btructurc change: $30. (1.s" lr?&,iiud petruslrip o LLC to Cop.) [Be arre to atadr a
bdtd rtH ahd imuranoeceilificate).
o Addlnffiemoving LLC rnennber or oorporate officer: l{o Fesr Each new uxnar must complete and sign lines l2-18 or 17-21. Mora dlrcctlonr on badr.& Eadi orner being removed rnust aign liw 22 or 23.r Onc owncr must sign line 24.. Provide copy o{ valid plrob lD lf chenging raslderrce eddreas.6 Deal8r number and expiration date will rlay the sarne-
VALIDATIOI'I USE ONLY
Submil the completed applicatlon 1o: DMV Buslneos Llcenslng Unit 1905 Lana Ave NE, Salem Oregon 97314
NOTE: lf the dealership has bssn sold, the new owner(e) mu6t obtain treir own vehicle dealer certilicale uslng the Form 73F370 packet sincs a dealer
cedlflcato is not tranaforable.
NAME CHA}IGE'NEWBllsslEsgNAtlE{lrassurr€ bush4rinsmqtiihRsgistyNsbtrl 6REL:ji.i-JJtrlEIlgR€G|STR, N.TMBER FEDERALE|TF|-O\GRDE TIFICAnONNLnIAEIT
Any alterafion of Llne 3 voids location Bpprova!.
ADDRESS CHANGE
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LOCATION APPROVAL - nequirei onty if d*ler is chanslng businoss location
Certificatbn ot Local Zoning anC Business Regulatory Compliance. ORS &2.005 requhas a yehide dealer cortificate, unless exempl r.rrder ORS 822.0,|5, for any
person who:
(a) Buys, sells, brokers, bades or exctnnges vehides elther urtrlght or by means of ony condtional ads, bailrner{, Iease, oecurily interesl, corcignment or
othenfise; OR
ib) Displeys a new or used vohicb, trailer or semitraler; OR
(c) Aols as any lype of agefll for the owner ol a vehide to sdl the vehicle or ects as any typo d agent for a perron interested in buying a vehide lo buy a vdricle.
THE CERTIFbATJON BELOIA' lS TO BE COMPLEIED BY IHE LOCAT ZONING OFFICIAL. The approval below should be based upu1 whetha the applicant can
do ANY of lha activities Uslod h ta) through (ci above under applcable ordrnances, atthe localion ofthe business given on Line 3. Pursuant to ORS 822.025(6),
applicant meels requirements below.
ffiEffi"offiattu ttre priffrfr-cn in vffiiEf itiilbugrpss is roUffifv*yn6qJgnatre leton ffiiiiEffioltffi-Eirstnessas s1atEd'm rhis appticario-n
cuttplies with any land use ordinancss or business regulalory odnarrces olthaltsdic.tion pursuanl h ORS 822.025(6).Y "'I ot )pN^oL-\)
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dions on the location
approvalare in an attached
letterfrom th€ zoning authority
COUNTY OF
TITLE
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APPNOVED
CTY OF SPRINGFIETI)
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Place stamp or seal here t@L\