HomeMy WebLinkAboutApplication APPLICANT 12/3/2010
SUPPLEMENTAL
DEALER I REBUILDER VEHICLE
,=..~;:E.=. DEALER, CERTIFICATE APPLICATION
. All supjJlement8l 1000tions'must operate tinder the saine owneiship
end business name as shown on the 'current certificate. (ORS 822.040)
. Submit application with all required signatures and fees to:
BUSINESS LICENSE UNIT, 1,905 Lana Avenue NE, Salem OR 97314-235d
. No proof of insurance required
. Any alteration of Line 2 voids location approval.
. Check if: 0 New Vehicles III Used, Vehicles
BUSINESS NAME
1 PENSKE TRUCK LEASING CO., L.P.
SUPPlEMENTAL LOCATION (STREET AND NUMBER)
2 1903 Henderson Avenue
"
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DEALER NUMBER
DA6225
EXPIRATIONDATE
EFFECTIVE DATE
FEE: 0$230
BUSINESS TElEPHONE
( 541 ) 746-4227
CITY
.COUNTY
Lane
COUNTY
Z1PCOOE
MAILING ADDRESS
3
Springfield
ClTY
9747~
STATE ZIP CODE
M.Il:lN BUSINESS LOCATION
4 One NE Columbia Blvd Portland OR 97211
DEALER CERTIFICATION - Must besl ned b thedealer-
False certilication is a Class B misdemeanor under ORS ,162.085 and is punishable by six months in jail, a fine of upto $1,000 or
both. In addition, a civil penalty of up to $1,000 and DMV sanctions against you or your dealer 'certificat,e may be imposed. With the
above penalties In mind, I CERTIFY:' '
I am the owner, a partner, an LLC member or a corporate officer of this business and that all information on this application is
accurate and true. This business deals in vehicles, or rebuilds vehicles at the lOcation given, This suppleinentallOcation will operate
under the same ownershi and business name as shown on the current certificate. ' ,
I certify t a
SJGNATUAE su
7 X
8
will cover the business operation as supplemented above.
TITlE DATE.
Attorney In-Fact 11/15/2010
PAINTED NAME
TlTl.e
WAYNE ANGEl BECK
9
LOCATION APPROVAL -If renewal see instructions-
Certification, of Local Zoning and Business Regulatory Compliance. ORS.822.005 requires a vehicle dealer license, unless exempt
under ORS 822.Q15, for any pe.rson who: '"
(a) Buys, sells, brokers, trades or exchanges vehicles either outright or by means of any conditional sale, bailm~nt, leese,
security interest, con'slgnment or otherWise; OR .
(b) DJsplays a new or us~ vehicle, trailer or semitrailer for sale: OR
(c) Acts a.any type of agent for the owner of a vehicle to seli the vehiCle or acts as any type of agent for \I person interested in
buying ~ 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 u~der your o[dinances, at the location of the
business given on ,line 3. Pursuant to ORS 822.025(6)(b)(A)(B), applicant meets requirements below.
As !he zoning official lor the locality in which this business Is located,/ verify by my signature below that the locetion of this business as s,tated on this application,
romplies with any land use oidinances end bushiess I9guialOI'l ordinances of the ci or county, as' appropriate pursuant 10 ORS822.025.6(a)
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Date Ree
::J
11
D COUNTY OF:
PRnn ODDDD1
v; Placssitam of(~eal hare
APPROVED
CITY OF SPRINGFIELD
IZ,-?-IO 11-03' ~( i2- 00
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DEe - 3 2010
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