HomeMy WebLinkAboutApplication Applicant 4/27/2024City of Springfield' SPRINGFIELD Development & Public Works 225 Fifth Street Springfield, OR 97477 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 Inf• • Applicant Name:Logan Leslie Phone:971-205-2096 Com an :NW Custom Carts LLC E-mail:Logan@northwestcusto Address: 2092 NE Aloclek Dr. Suite 510, Hillsboro OR 97124 Property Owner:Brad Scott Phone:541-870-2222 Com an :Car Tunes Inc E-mail•brad.scott@hotmail.com Address•825 N Boyd Rd. Apache Junction AZ 85119 ASSESSOR'S MAP NO:%' 3 ITAXLOTNO(S): L OO Property Address:3816 Main St. Springfield OR 97478 Description of proposal/request: gon DMV New Vehicle Dealer Application, additional location, NW Custom Carts LLC - Golf Cart / LSV S Recordcomplete) Record No: d I f —a+ 00 11 Tdr 1 Date Received: Application Fee: 3U5. OD Technical Fee: $ �a • TOTAL FEES: $ ��. 0�5 Assigned Planner: 1� Revised 2023 04 04 shn 10 11 12 13 DEALER NUMBER IMMSUPPLEMENTAL DEALER / REBUILDER VEHICLE EXPIRATION DATE OWWWWOFTRWAFMA0MMAMW= ON91iU ,MUM AK M6111i]I OFEODEALER CERTIFICATE APPLICATION EFFECTIVE DATE • All supplemental locations must operate under the same ownership and business name as shown on the current certificate. (ORS 822.040) • Submit application with all required signatures and fees to: FEE: ❑ $350 Business Licensing Unit, 1905 Lana Avenue NE, Salem OR 97314 • Any alteration of Line 2 voids location approval. • Check if: Q New Vehicles 0 Used Vehicles LEGAL NAME OF BUSINESS ASSUMED BUSINESS NAME (DBA) IF APPLICABLE NW Custom Carts LLC Northwest Custom Carts BUSINESS TELEPHONE ( )505-6446 503 SUPPLEMENTAL LOCATION (STREET AND NUMBER) CITY COUNTY ZIP CODE 3816 Main St. Springfield Lane 97478 MAILING ADDRESS CITY COUNTY STATE ZIP CODE 2092 NE Aloclek Dr. Suite 510 Hillsboro Washington OR I 97124 MAIN BUSINESS LOCATION 2092 NE Aloclek Dr. Suite 510 Hillsboro, OR 97124 DEALER CERTIFICATION - Must be signed by the dealer - a se certification is a Class B misdemeanor under ORS 162.085 and is punishable by six months in jail, a fine of up to or both. In addition, DMV sanctions against you or your dealer certificate may be imposed. With the above penalties in mind, I CERTIFY: I am the owner, a partner of a partnership, an LLC member, or a corporate officer of this business entity, and that all information on this application is accurate and true. This business deals in vehicles, or rebuilds vehicles at the location given. This supplemental location will operate under the same ownership and business name as shown on the current certificate. PRINTED NAME TITLE Logan D Leslie Sole Member SIGNATURE E-MAIL X logan@northwestcustomcarts.com SUPPLEMENTAL BUSINESS LOCATION INFORMATION Property is (check one): ❑ OWNED ❑X LEASED / RENTED: If property is "Leased / Rented" complete the following: LEASE OR RENTAL PERIOD; Annual PROPERTY OWNER'S FULL NAME TELEPHONE NUMBER Car Tunes Inc. / Brad Scott ( 541 ) 870-2222 PROPERTY OWNER'S ADDRESS CITY STATE ZIP CODE 825 N Boyd Rd. Apache Junction AZ 85119 LOCATION APPROVAL — If renewal, see instructions — Certification of Local Zoning and Business Regulatory Compliance. 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. Your approval below should be based upon whether the applicant can do ANY of the activities listed in (a) through (c) above under your ordinances, at the location of the business given on Line 2. Pursuant to ORS 822.025(6), applicant meets requirements below. As the zoning official for the locality in which this business is located, I verify by my signature below that the location of this business as stated on this application complies with any land use ordinances and business regulatory ordinances of the city or county, as appropriate pursuant to ❑ CITY OF: ❑ COUNTY OF: TELEPHONE NUMBER PRINT NAME TITLE SIGNATURE DATE X ❑ Check box if restrictions on the location ■ Place stamp or seal here T approval are in an attached letter from the zoning authority.