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HomeMy WebLinkAboutApplication APPLICANT 4/20/2011 ~ APPLICATION FOR THREE YEAR BUSINESS CERTIFICATE ~.."'~",,."..o"""O" . AS A DEALER EXCLUSIVELY OF MOTORCYCLES, MOPEDS, ,~~~:~~;~~o~~~E~V1'~~4 SNOWMOBILES AND/OR ATVS' . CUSTOMER NUMBER EFFECTIVE DATE EXPIRATION DATE DEALER NUMBER o ORIGINAL o RENEWAL LATE FEE If this is a renewal, do not complete the fee information. Use the attached billing list to calculate your fees. The billing list MUST be submitted with your renewal application. Original Certificate (Includes one plate) $ 1012.00 Additional locations @ $230.00 each $ (Supplemental Application Form 735-372 required tor each location) SUPPLEMENT ALS RENEWAL PLATES, ADDITIONAL PLATES Additionai plates @ $21.00 each $ $ TOTAL . $ MAIN BUSINESS lOCATION (STREET AND NUMBER) 327g7 01 'Ie t. MAILING ADDRESS 4 2.787 01 "'"" 1(. st. BUSI ESS NAME AND ADDRESS .4n alteration of Line 3 voids location a rova/. LEGAL NAME OF APPLICANT (OWNER, PARTNERSHIP, LLC OR CORPORATION NAME) OREGON REGISTRY NUMBER (IF LLC OR CORPORATION) 1 lJhoJesa..\e Mot--ors o,t~ LL...c... 6 3~Lf09q BUSINESS NAME (IF ASSUMED BUSINESS NAME, FILL IN f3.EGISTRY NO.) OREGON REGISTRY NO. BUSINESS TELEPHONE 2 5 Y I b 0 6 - 98LJt COUNTY L- AlJ E. ZIP CODE Cf7l/7? CITY S r;" ~ie\oI. CI S f'r-; t' t" del TYPE OF OPERATION ZIP CODE "17477 STATE () re Of\. 5 l!we primarily selllbroker: ~New Vehicles D Used Vehicles 6 I/we are a franchise dealer DYes ~No If "Yes," name the makes >- 7 CHECK ORGANIZATION TYPE: D Individual D Partnership D Corporation ~C 8 I/we sell/broker D Motorcycles/Mopeds D Snowmobiles ATVs LOCATION APPROVAL (If renewal, see instructions) Instructions to the local city or county regulatory office: By signing this approval you are authorizing dealer activities to occur at the location given on Line 3 of this application. Do not add stipulations as this may cause us to reject the appiication. If dealer activit;"es cannot be conducted ~t this address do not sign the location approval. I CERTIFY that a vehicle dealer business at the location specified on Line 3 of this application complies with land use and business regulatory ordinances. I am authorized to sign this application and as evidence of such authority do affix hereon the seai or stamp of the city or county. 9 10 j e let 0 COUNTY OF: (E'5yt)MBj ).0 - ]j 0 I T1TLplanhcrr DATE'LfJ ell eceived: P~SlI\:~ ~~Slmp (OlW ~~Sll ~~W~ 'C7 \j APPROVED CITY OF SPRINGFIELD' Original SUbmittil ouJdo(YdiSpI{L~. IS plrYr) I !tee{ ,I fl. opprovu( orrt(.OnflJ-. 'sp. In othel- Gtr~'S Ol th~ <;:ltl wi II C~ tVO(j(.. ~ . I U Of i btt I a({rti ()r\ . rO veL(. Un .~I.~l:1,nl:llill. (f? 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"'-\, ' : '.;'he ~ ~,>J(-n, <'>';:'~bl.::i:;:-'"';;,'\,;iE .::,.; il{\jf'/;~;:' . . .. ,- " I <;::,.,.,',~~!\,:.:!,i;;!t.11.)),I~,;<'s ;~:"i..iJD"l'~::iITJri';'r').')\i;J'" I \;'" :~,.....,' :;.;';,'i",",.kL;,,':."',":,,,,,,:'!";,.:,+;:i,"'0;!t;'.':-':,,\"i. .. -,i!""",,,' '" ," """"~~,i;,'i,;;;;:;,:.!:, " '" ',..J ,_, t"\ -,.' ,"', " , ',~, . . '1' .".,- .'. ,_,-" ,;>,;.,,;::-<(.:,:,,:",:;:.7'-:':'{'}'~:i'~'--~C~""/'::,';,'1 ", , , ," ( ) \ . -" l~) .. ~) , -lll Iv " - IJ -' 1'. , ~) . ; .. ,~ I . q " . . I' 17" MINIMUM ~I ::2 ::J ::2 Z ::2 Spr,ingfield's Wellhead Protection Area Help protect our drinking water Report 0[1 leaks or spills to: HAZARDOUS MATERIAL RESPONSE 911 Site operator: Springfield Utility Boo rd 746-8451 .,", , ~ ~ "?y/ ,((/'~%'(-'l.".7.//~<<'1"~~~1?~~/1(..-:;~:1'/.(.(~~~f;';;/~~/://'/'~:('//f"~ 1~<-::(~!:~~~<(~;""':""~~;/;:,<~~:,,?/:~/.'/-,! ,':<~~:~/:~..../(y.<-:~N:~.' ~I Date Received: APR 2 0 2011 Original Submittal DRAWN BY . EJN . SPRINGFIELD UTIUTY BOARD DATE 1/5/00 SCALE N/A APPROVED KC O~!IC'='" 1 17. 1 /fif\ "~';~'-'-' i/'-'fjVV WELLHEAD PROTECTION SIGN r.n~'""IG # F.-11 r-.r-c.,1:i uf'r-\HII'l 1- J I U "Tv .. . . SPRINGFIELD UTILITY BOARD WATER S!;RV1CE CENTER 202 South 18th Street Springfield, OR 97477-5240 Tel 541.726.2396 Fax 541.747.7348 www.subutil.com April 12, 2011 Liz Miller Development Services City of Springfield 225 5th Street Springfield, OR 97477 RE: DRINKING WATER PROTECTION APPLICATION EXEMPTION REQUEST ADDRESS: 2787 OLYMPIC STREET, #3 Dear Liz, I have received the DWP application exemption request submitted by Shauna Schneider for the above-mentioned address (see attached). The site is located in the one-year time-of- travel zone to the SP municipal drinking water supply well. The hazardous materials list indicates that the total quantity will not exceed twenty gallons and none of the products contain DNAPLs. Based on the information provided in the request, the exemption can be granted with the condition that a wellhead protection sign that meets SUB's standard is posted on site. Please note that the facility may be inspected at any time to verify the information provided in the exemption certification. Feel free to contact me at 541-744-3745 for further details or with any questions. Sincerely, ~(.~ Amy E. Chinitz Water Quality Protection Coordinator AEC:mt cc: Tara Jones, Development Services, City of Springfield, 225 5th Street, Springfield, OR 97477 Shauna Schneider, 1272 32"' Street, Springfield, OR 97478 Brian Whitlow, Western Investors, 2787 Olympic Street, #9, Springfield, OR 97477 Date Received: enclosures APR 2 0 2011 Original Submittal S:\Amy Chinitz\Businesses_DWP apps\Shauna Schneider\2011-04-14_Schneider exempt resp.doc