Vehicle Dealer License - Full Blown MotorsS`t Of°U�C MINNESOTA DEPARTMENT OF PUBLIC SAFETY
ag. DRIVER AND VEHICLE SERVICES
445 Minnesota Street, Suite 186
Saint Paul, MN 55101-5186
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:
Minnesota Vehicle Dealer License - Zoning Veritication
The Zoning Official for the jurisdiction in which the dealership resides must complete form.
Zoning District: ` r
This form is for (check one): rV Primary Location F Additional Location (Attach a separate Commercial
Checklist Form (PS2410) for each location)
DEALER NAME h1tS Vl M
Street ?) %D
City F14-6-4"� State41nl Zip _County
Type of Dealer's License (check one):
r NEW /MSED I— LESSOR r— D.S.B. I— WHOLESALER r BROKER F- AUCTIONEER I— SALVAGE POOL (— LIMITED USED
Please Check Appropriate Statement: 0gt5-1je_ re_* l �'%Vvt+e.rj by Codes .
N e d 0kev nY-
T,10iIs dealership is permitted use within the above zoning district for the type of business indicated
F✓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
F— (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:
Zoning Authority Phone Number:
(Signature of Zoning Authority)
PS2421-08 (08116)
Subscribed and sworn to before me this
day of )( L{v20
NOTARY PUBLIC,
`,1(.il��
COUNTY:
MY COMISSION EXPIRES: In R 20;��
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