HomeMy WebLinkAboutMiscellaneous Planner 2/8/20221
2
3
4
5
6
7
I
CERTIFICATE NUMBER
wR2386
EXPIRATION DATE
Perlenfein, lnc.(541 1726-7778
SUPPLEMENTAL LOCATION (STREET AND NUMBER)
3000 Main Street Springfield
CITY COUNTY
20
z|P CODE
97478
MAIN AUSINESS LOCATION ADDRESS CITY COUNTY ZIP CODE
PO Box 640
MAILING ADDRESS
Corvallis
crw
Benton
COUNTY
OR 97339*
a) THE DtMENStoNS oF THE pRopERw oN wHrcH THE BUSTNESS ts LocATED nnr 2.5 Acres x. x
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.
ft.
LOCAL GOVERNMENT APPROVAL (CtTy / 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. lf a dismantler business cannot be conducted at that
location, or if any of the conditions below are not met, do not sign this approval.
f I represent an incorporated city with a population of 100,000 or more.
By signing on Line 8, I certify 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 zoned for indushial use or subject to another zoning classification that permits the type of business conducted by
the dismantler.
f I represent a County, or an incorporated city with a population of less than 100,000.
By signing on Line 8, I certify the following:
6SIJ-,, or t\nl +$*.\) -^.THAT THE GOVERNING BODY OF THE
A) APPROVED THE APPLICANT AS BEING SUITABLE TO ESTABLISH,
MAINTAIN OR OPERATE A MOTOR VEHICLE DISMANTLING BUSINESS
(oRrGrNAL APPLICATTONS ONLY).
B) DETERMTNED THAT THE LOCATTON OR PROPOSED LOCATTON MEETS
THE REQUIREMENTS FOR THAT LOCATION UNDER ORS 822.1,I0.c) DETERMTNED THAT THE LOCATTON DOES NOT VTOLATE ANy
APPLICABLE PROVISION OF ORS 822.135.
D) APPROVED THE LOCATTON AND DETERMTNED THAT THE LOCATTON
COMPLIES WITH ANY REGULATIONS ADOPTED BY THE JURISDICTION
UNDER ORS 822.140.
I Restrictions on the location approval are in an attached letter from the
zoning authority.
IALSO CERTIFY THAT IAM AUTHORIZED TO SIGN THIS APPLICATION AND AS EVIDENCE OF SUCH AUTHORITY DO
AFFIX HEREON THE SEAL OR STAMP OF THE CITY OR COUNTY.
V PLACE STAMP OR SEAL HERE A
APMOVED
CTff OF SPRINGFIEID
,\TERNiIENT OFFICIALJ,oo V. L",o,m.F\p,r^rrl
TITLE (5Lr\)1jb -toDjPHONE NUMBER
TURE OFFICIAL
x /rt>z-z-,
ffi APPLICATION FOR ANNUAL
SUPPLEM ENTAL BUSINESS GERTIFICATE
AS A DISMANTLER OF MOTOR VEHICLES OR
SALVAGE POOL OPERATOR
MPAMEEOFBNSMfrAMN
. PLEASE TYPE OR PRINT LEGIBLY WITH INK.. ANY ALTERATION OF LINE 2 VOIDS LOCATION APPROVAL.
FEE: $500
oRrcrNAL M neNeWal