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HomeMy WebLinkAboutApplication Applicant 11/6/2023!City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477L' SPRINGFIELD LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER Application form Permit .- Dept of Motor Vehicles -New: Land Use Compatibility Statement: ❑ city: Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑ Project • • Applicant Name: Phone: 5</(-G53 -? GLI'Z company: `rin cav� '�-dl b -S LLL E-mail:'rdvir5, 1 kc- Address: SV -4,0 UAcJLr --' S r, �n 0Z 0(_?W7 g �✓� Pro er Owner: Vc,_k le vQ�6hone: Company: E-mail: Address: c2-S.2%k�� �c��.9 �-� -ran t �� ®� ASSESSOR'S MAP NO: TAX LOT NOS : 0 Property Address: SS:�( Q NJ Gi n 5-�- 5' r- c O� ok g Description of proposal/ request: J [0G%°P, . Record rmation (Staff to complete) •G j Record No: O�l-o 25 c) --N Date Received: I �I LOLL Application Fee: $ 105 Technical Fee: $ TOTAL FEES: $ • 9-5 Assigned Planner: Revised 2023 04 04 slm W 11 "0PJUAPPLICATION FOR 1 THREE YEAR VEHICLE DEALER CERTIFICATE DENTMENf OF 7A ISIS I AVE NE SALEM O EGON 973SERVICE4 AS A DEALER OR REBUILDER OF VEHICLES -ANA CUSTOMER NUMBER EFFECTIVE DATE EXPIRATION DATE DEALER NUMBER F-1 ORIGINAL --- - -- — - - ❑ RENEWAL If this is a renewal, do not complete the fee information. Use the CERTIFICATE FEE attached billing list to calculate your fees. The billing list MUST be submitted with your renewal application. LATE FEE Original Certificate (Includes one plate) ................................. "$1,187.00 SUPALEMENTALS Additional Locations @$350.00 ..................... $ 0.00 RENEWAL PLATES (Supplemental Application Form 735-372 required for each ADDITIONAL PLATES location) $ 0.00 Additional plates 12" x 6" or 7" x 4" $54.50... TOTAL (Two sizes, standard and small, available) TOTAL = $ 1,187.00 > TEMPORARYPLATES BUSINESS NAME AND ADDRESS Any alteration of tine 3 voids location approval. LEGAL NAME OF APPLICANT (OWNER, PARTNERSHIP, LLC OR CORPORATION NAME) FEDERAL ID NUMBER (FEIN) OREGON REGISTRY # (IF LLC OR CORPORATION) Darrick Senseney 193-4276308 1219227998 BUSINESS NAME (IF ASSUMED BUSINESS NAME, FILL IN REGISTRY NO.) OREGON REGISTRY NO. BUSINESS TELEPHONE Thrive Motors 219227998 541-653-7642 MAIN BUSINESS LOCATION (STREET AND NUMBER) CITY ZIP CODE COUNTY 3890 Main St Springfield 97478 Lane MAILING ADDRESS CITY STATE ZIP CODE EMAIL Same as above I thrivemotorsllc@gmail.com TYPE OF OPERATION If corporation, list the state under which business is incorporated: CHECK ORGANIZATION TYPE: ❑ Individual E] Partnership ® LLC ❑ Corporation: _ / we primarily sell: ❑ New Vehicles ® Used Vehicles I / we are a franchise dealer: ❑ Yes ® No If "Yes," name the makes >- I / we sell NEW RECREATIONAL VEHICLES: ❑ Yes ® No I 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. 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 on this application complies with any land use ordinances of the jurisdictionPursuant to ORS 822.025. TELEPHONE NUMBER ❑ ❑ CITY OF: COUNTY OF: PRINT NAME TITLE SIGNATURE DATE X V Race stamp or seal here O ❑ Check box if restrictions on the location approval are in an attached letter from the zoning authority. Page 1