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�p °`°°g�� MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br /> ;ae`� � � OFFICE USE ONLY <br /> ;�� -��; DRIVER AND VEHICLE S[RVICES <br /> � + 445 Minnesota Street, Suite 186, St. Paul, MN 55101-5186 DEALER NUMBER: <br /> �..�,���%� PHONE: 651-296-2977 DATE RECEIVED: <br /> FAX: 651-297-1480 INITIALS: <br /> EMAIL: DealerQuestionQmndriveirifo.org <br /> Minnesota Vehicle Dealer License—Zoning Verification <br /> The Zoning Official for the jurisdiction in which the dealership resides must complete this form. <br /> Zoning District• � �Z �-'�� ���t'��S (✓/'.Sl�f C—� <br /> This form is for(check one): '(�Primary Location ❑Additional Location (Attach a separate <br /> Comriercial Checkli�t PS2410 for each location) <br /> DEALER NAME N O�T�" _S I�� !" 1 Ar{ZTP1� <br /> Street ���{� ��DR��-t h1r �f2.?J� <br /> c,� IIJ��r� st� '�IN z,P S.S3`11 c�,�ty l-�...�vn��a�/ <br /> Type of Dealer's License(check one) <br /> L�NEW �USED ❑LESSOR ❑WHOLESALER ❑BROKER ❑AUCTIONEER ❑SALVAGE POOL ❑LIMITED USE VEHCILE <br /> Please check appropriate statement: <br /> �This dealership is permitted use within the above zoning district for the type of business indicated above and <br /> th�ie ar�np zOning Cpmplain�S Or enfQrCem�nt�ChanS FenC�ing at thiS�ime. <br /> ❑ This dealership is permitted conditional use within the above zoning district for the type of business <br /> indicated above and there are no zoning complaints or enforcement actions pending at this time. <br /> (Must attach a copy of the conditional use permit) <br /> Printed Name of Zoning Authority: ����•�- �. �A�/�,v , �L�uni��%G �1�L�'1T2,. �.�'Z-o FF�� <br /> Zoning Authority Phone Number (9��-) Zy9 ��aC� <br /> Subscribed and swom to before me this <br /> ' ���day of����0�_ <br /> X NOTARY PUBLIC �Q.c,l�¢� ��,�- <br /> �Si�n.�.h�r f �ning Authority) <br /> courrrY: f-leh��r�i h <br /> MYCOMIvIISSIONEXPIRES �CZ �/ � ZO�O <br /> RACHELDODGE <br /> ' NOTARY PUBLIC-MINNESOTA <br /> •:,�:� My Commission Expires Jan,31,2010 <br /> PS2421-01 <br />