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HomeMy WebLinkAboutApplication Applicant 12/19/2023i0ty of Springfield Development & Public Works 225 Fifth Street Springfield, OR 974771k SPRINCmFIELb LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER Application form Permit Type Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: ❑ city: Dept of Motor Vehicles -Renewal: Zoning Verification Letter: ❑ UGB: ❑ Project . • Applicant Name: ,` .,'h Phone: r Company: `9 Address: �' 6 /% ; Hrl Property Owner: 6-1,elz _ 7s�Y id Company: i,�r �f �t� �.�1`n .��Pi E-mail: Address: ASSESSOR'S MAP NO: I7 00--302-30'- ITAX LOT NO(S): Property Address: 41 ub DUCn Description of proposal/request: Recordcomplete) Record No: 4 l— 02 �J " Date Received: Application Fee: $ 3LO 5• Db Technical Fee: $ TOTAL FEES: $ JY Assigned Planner: Revised 2023 04 04 slm APPLICATION FOR DEPARTMENT OF TRANSPORTATION THREE YEAR VEHICLE DEALER CERTIFICATE DRIVER AND MOTOR VEHICLE SERVICES !N "NAAVENE,SALFY�EO:1Nmll AS A DEALER OR REBUILDER OF VEHICLES CUSTOMER NUMBER EFFECTIVE DATE EXPIRATION DATE DEALER NUMBER ❑ ORIGINAL _ I RENEWAL If this is a renewal, do not complete the fee information. Use the >- CERTIFICATE FEE attached billing fist to calculate your fees. The billing list MUST be submitted • with your renewal application. LATE FEE Original Certificate (Includes one plate) ................................. $1,187.00 SUPPLEMENTALS Additional Locations 0 03$350.00 ..................... $ 0 RENEWAL PLATES (Supplemental Application Form 735-372 required for each ADDITIONAL PLATES location) $ 0 Additional plates 12" x 6" or 7" x 4" $54.50... TOTAL $ (Two sizes, standard and small, available) TOTAL�=$I,�187.0�0 � TEMPORARY PLATES BUSINESS NAME AND ADDRESS Any alteration of Line 3 voids location approval. LEGAL NAME OF APPLICANT (OWNER, PARTNERSHIP, LLC OR CORPORATION NAME) FEDERAL ID NUMBER (FEIN) OREGON REGISTRY # (IF LLC OR CORPORATION) 1 Springfield Auto Sales LLC DBA Dans Automotive 184-3461048 159853499 BUSINESS NAME (IF ASSUMED BUSINESS NAME, FILL IN REGISTRY NO.)T159853499 REGON REGISTRY NO. BUSINESS TELEPHONE 2 Springfield Auto Sales LLC DBA Dans Automotive 541-726-3823 MAIN BUSINESS LOCATION (STREET AND NUMBER) CITY ZIP CODE COUNTY 3 4106 Mmain Street Springfield 97478 Lane MAILING ADDRESS CITY STATE ZIP CODE EMAIL 4 PO Box 1059 Marcola 997454 Dan@dansautomotive.cc TYPE OF OPERATION I If corporation, list the state under 5 CHECK ORGANIZATION TYPE: ❑ Individual ❑ Partnership © LLC ❑ Corporation: which business is incorporated: 6 1 /we primarily sell: ❑ New Vehicles 0 Used Vehicles 7 1 / we are a franchise dealer: ❑ Yes W No If "Yes," name the makes )o- 8 $ I / we sell NEW RECREATIONAL VEHICLES: [:]Yes W No 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 jurisdiction pursuant to ORS 822.025, 9❑ CITY OF: PRINT NAME 10 11 SIGNATURE ❑ COUNTY OF: ❑ Check box if restrictions on the location approval are in an attached letter from the zoning authority. Swot 1 'TELEPHONE NUMBER TITLE DATE