3575 Sibley Memorial Hwy - Zoning Permits & Plans . <:. jc,-- MINNESOTA DEPARTMENT OF PUBLIC SAFETY OFFICE USE ONLY
rer DRIVER AND VEHICLE SERVICESDEALER NUMBER:
445 Minnesota Street, Suite 186
Saint Paul, MN 55101-5186 DATE RECEIVED:
P
/��F MII4 , Phone: (651)201-7800 Fax: (651)297-1480 COUNTY:
Web: dvs.dps.mn.gov Email: DVS.DealerQuestion@state.mn.us AREA:
INITIALS:
Minnesota Vehicle Dealer License -Zoning Verification
The Zoning Official for the jurisdiction in which the dealership resides must complete form.
Zoning District:
This form is for (check one): Primary Location C, Additional Location (Attach a separate Commercial
tk
Checklist Form (PS2410) for each location)
DEALER NAME \\ .\ Lc s\n _L L
Street e--- s1-15 A. vi\,kkl1 \�
City EiNel,‘,N) State Zip " „ County "..... 4„,(1-k et,
Type of Dealer's License (check one):
_'NEW E USED tKLESSOR C D.S.B.rj WHOLESALER [BROKER [j AUCTIONEER [SALVAGE POOL [!LIMITED USED
1 vL I e.&tet. a 4\1
please Check Apprspriate Statement:
This dealership is permitted use within the above zoning district for the type of business indicated
Rrabove and there are no zoning complaints or enforcement actions pending at this time.
This location complies with local sanitation codes, or otherwise complies with local ordinances.
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
—J (Must attach a copy of the conditional use permit).
This location complies with local sanitation codes, or otherwise complies with local ordinances.
'rinted Name of Zoning Authority: Cr ).k S ItC.."((.ZcL k
zoning Authority Phone Number: 65-1- 6 1 c- s---6, f 2
/ 2Subscribed and sworn to before me this
1
�� qday of �, =0 17
• r
(Signature of Zo ing Authority) NOTARY PUBLIC ��, , A . �
COUNTY: _/, , 0<'
k JULIE ANITA STRID MY COMISSION EXPIRES:dG t1.3) 1'/
,` Notary Public-Minnesota
My Commleslon Expires Jan 31,2020
S2421-08(08/16)