1299 Eagan Industrial Rd - MN Vehicle Dealer License/Zoning Verification10/20/2011 12:57 FAX
Minnesota Vehicle Dealer License - Zoning Verification
The Zoning Official for the jurisdiction in which the dealership resides must complete this form.
Zoning District:
vt' ,. J .1 vies- t
This form is for (check one): Ni Primary Location ❑ Additional Location (Attach a separate
Commercial Checklist PS2410 for each location)
DEALER NAME 1--/- ,/ 1/� /
Street
City
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
445 Minnesota Street, Suite 186, St. Paul, MN 55101 -5186
PHONE: 651 -296 -2977
FAX: 651 - 297 -1480
EMAIL: DealerQuestion@mndriveinfo.org
AxiC
Type of Dealer's License (check one)
❑ NEW 'USED ❑ LESSOR XWHOLESALER ❑ BROKER ❑ AUCTIONEER ❑ SALVAGE POOL ❑ LIMITED USE VEHCCLE
Please check appropriate statement:
This dealership is permitted use within the above zoning district for the type of business indicated above and
there are no zoning complaints or enforcement actions pending at this time.
❑ This dealership is permitted conditional use within the above zoning district for the type of business
indicated above and there are no zoning complaints or enforcement actions pending at this time;
(Must attach a copy of the conditional use permit.)
Printed Name of Zoning Authority:
Zoning Authority Phone Number ( Gil ) G } i " S G f
PS2421 -01
(Signature of Zoning Authority)
C .4y ec CayaK -
OFFICE USE ONLY cc
DEALER NUMBER: t!w _ f
DATE RECEIVED:
INITIALS:
State/99422V Count
ce
Sub and sworn to before me this
17- day of -'( 20 I 1
NOTARY PUBLI
COUNTY: De1/4
4 0001/0001
COMMISSION EXPIRES d ( - - ,3∎ j 5
JEANETTE ANN JOHNSO
NOTARY PUBLIC - MINNESOTA
My Commission Expires Jan. 31, 2015