HomeMy WebLinkAboutApplication Applicant 5/3/2024;City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 974771k
SPRINGFIELD
LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF
MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER
Application form
Permit Type
Dept of Motor Vehicles-New:\10 Land Use Compatibility Statement: ❑ city: ❑
Dept of Motor Vehicles -Renewal: ❑ Zoning Verification Letter: ❑ UGB: ❑
Project• •
Applicant Name: 'r Phone: syr 6 06 � 887
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Company: S C?r �n4ee1 ' o
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Address: 383 ' l�c�n 0�. S(1.J_(
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Propert Owner: i r� �1 �-
Phone:915-9'/
Company: LcZ,r Tr, c .
E-mail:
Address: °� I LA
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ASSESSOR'S MAP NO: ��I TAX LOT NOS :
Property Address: 8; q Mckl' n S4 Si,�,e A, S IG+ ®F< q? L17
Description of proposal/request: Xcw
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ation (Staff
Record
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Record No: 1 �� 'VlleJ� Z! ` (
Date Received: 5 13 12`7
Application Fee: ���,�d
Technical Fee: $ o' 2-5
TOTAL FEES: $ J S is
Assigned Planner:
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APPLICATION TO CORRECT DEALER l REBUILDER
VEHICLE DEALER CERTIFICATE
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OMYE11 ANO MOTOR Y[/CftE iFJNltq
1'OawuAya Mr.•uEY 0flEooxn�H DEALER NUMBER
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EFFECTIVE DATE CURRENT BUSINESS NAME
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Check the reason for orrectlon:
❑ Name Change Address Change ❑ Add / Remove Owners ❑ Org. / Structure Change
Instructions: VALIDATION USE ONLY
The fee for a corrected certificate: $30.
• Name change and/or address change: $30. Attach Bond Rider and Insurance Certificate.
• Organizational structure change: $30. (e.g., Individual partnership or LLC to Corp.) Attach a bond rider
and insurance certificate.
• Adding/Removing LLC member or corporate officer: No Fee
• Each new owner must complete and sign lines 12-16 or 17-21.
• Each owner being removed must sign line 22 or 23.
• One owner must sign line 24.
• Provide copy of valid photo ID if changing residence address.
• Dealer number and expiration date will stay the same.
Submit the completed application to: DMV Business Licensing, 1905 Lana Ave NE, Salem Oregon M14.
NOTE: If the dealership has been sold, the new owner(s) must obtain their own vehicle dealer certificate using the Form 735-370 Packet since a deafer
certificate is not transferable.
name,
Any alteration of Line 3 voids location approval.
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I LOCATION APPROVAL - Required only if dealer Is changing business location
j Certification of local Zoning and Business Regulatory Compliance. ORS 822.005 requires a vehicle dealer certificate, unless exempt
1 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
jb Displays a now or used vehicle, trailer or semitrailer; 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 jurisdiction allows the applicant ANY of the activities in (a) through (c) above under its ordinances, at the location of
the business given on Line 3.
As the zoning o rc a or! the Jurisdiction where this business is located, l verify by my signature below tat the cation of 's business as shown on this appl�catOn
complies with any land use ordinances or business regulatory ordinances of the jurisdiction pursuant to ORS 822.1125(6).
8 0 CITY OF:
97 PRINT NAME
X1SIGNATURE
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F1 Restrictions on the location
approval are in an attached
letter from the zoning authority
❑ COUNTY OF:
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Place stamp or seal here ■