Dealers LicenseOF P�e<,C MINNESOTA DEPARTMENT OF PUBLIC SAFETY
9m< DRIVER AND VEHICLE SERVICES
445 Minnesota Street, Suite 186
Saint Paul, MN 55101-5186
SrgrF OF MIN NESO�P Phone: (651) 201-7800 Fax: (651) 297-1480
Web: dvs.dps.mn.gov Email: DVS.DealerQuestion@state.mn.us
OFFICE USE ONLY
DEALER NUMBER:
DATE RECEIVED:
COUNTY:
AREA:
INITIALS:
iviinnesota venicie ueaier License - Loningyeritication
The Zoning Official for the jurisdiction in which the dealership resides must complete form.
Zoning District: _ 1 Ll Mi +e,� ,LnCJUS- a�
This form is for (check one): Primary Location
Additional Location (Attach a separate Commercial
Checklist Form (PS2410) for each location)
DEALER NAME
Street 4f bTon - ji5cA)De- A-Ve-
City ,Fk6hrr� State Zip County
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Type of Dealer's License (check one):
NEW q USED (— LESSOR F- D.S.B. f— WHOLESALER j— BROKER f— AUCTIONEER F- SALVAGE POOL r— LIMITED USED
Please Check Appropriate Statement i o-me_ C�anSe -;vav N � I°I ICe-t.15 e-
S - 1 M-fo i 1 �bo�isiov�5 !1 K,,LcL'I r•
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 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
(Must attach a copy of the conditional use permit).
This location complies with local sanitation codes, or otherwise complies with local ordinances.
Printed Name of Zoning Authority: So- rvA- h —Thprm s
Zoning Authority Phone Number: b 51 & "75- -6 -1 (p
X
f
(Signature of Zoning Authority)
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JULIE ANITA STRID
Notary Public -Minnesota
R,µO
My C.areni�on Expb9s Jars 31, 2025
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Subscri ed and sworn to before me this
day of �2n0, 9
y�'l�f o NOTARY PUBLIC I ' KL"
COUNTY: ®Ol, 0iU
MY COMISSION EXPIRES: Jai
PS2421-08 (08/16)