HomeMy WebLinkAboutApplication APPLICANT 10/5/2010
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I ~ SUPPLEMENTAL
'.J~~" DEALER I REBUILDER VEHICLE
,==:Fa.~~~:.ii:. DEALER CERTIFICA TE APPLICATION
. 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:
BUSINESS,L1CENSE UNIT, 1905 Lana Avenue NE, Salem OR 97314-2350
. No proof of insurance required
. Any alteration of Line 2 voids location approval.
. Check if: 89 New Vehicles 0 Used Vehicles
DEALER NUMBER
EXPIRATION DATE
EFFECTIVE DATE
FEE: 0 $230
BUSINESS NAME
1
BUSINESS TELEPHONE
(503 ) 302-9199
Peterson Machinery CO.
SUPPLEMENTAL LOCATION (STREET AND NUMBER)
2 2300 Henderson Ave.
CrTY
Eugene
CITY
San Leandro
COUNTY
Lane
ZIP CODE
97403
MAILING ADDRESS
3 P. O. Box 5258
4
COUNTY
Alameda
STATE
CA
ZIP CODE
94577
5
SIGNATURE
6 X
BOND ENDORSEMENT
PISlc~ (;\!.IW~1ly (;\~SI~ h~w~ C>
I certify that surety bond number:
SIGNATURE OF SURETYIREPRESENTAT1VE
7 X
8
will cover the business operation as supplemented above.
TITLE DATE
9
LOCATION APPROVAL -If renewal see instructions
Certification of Local Zoning and Business Regulatory Compliance. GRS 822.005 requires a vehjcle dealer license, unless exempt
under ORS 822.015, for any person who: .
(aJ Buys, sells, brokers. trades or exchanges vehicles either outright or by means of any conditional sale, baiiment, 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)(b)(A)(B), 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 ORS822.025.6(a)
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APPROVED
CITY OF SPRINGFIELD
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