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MINNESOTA DEPARTMENT OF PUBLIC SAFETY aFFICE USE ONLY <br /> ANO•Vuvcm SERVIGEs <br /> 445 Minnesota Street,Suite 186,St Paul,MN 55104-5186 DEA ILER NUMBER: <br /> PHONE:65t 296-2977 DATE:RECEIVED: <br /> FAX:651-297-1480.. INITIALS: <br /> WAIL DealerOuestion@mndriveinfo: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:. /V'6 I'Sq'NA,1_ <br /> This form is for(check one): Primary Location . 0 Additional Location (Attach a separate <br /> Commercial Checklist PS2410 for each location), <br /> DEALER NAME' . j/-11 11,Y Je7V)KA <br /> Street C ,� �©� ? �V7d (J(.�rQ'G� !3�'T.4.- � �•, l.� . <br /> City I-e A] A K42 State fthipCounty <br /> NorE: 5(T€ Is IN G1r7 Cr 090A)p <br /> Type of Dealer's License(check one), <br /> 0 NEW SED VLissoR ,WHOLESALER -Q/1311O1KER ,VAUCUONEER ❑SALVAGE POOL ❑L[MrrED USE VEHCILE' <br /> Please-check appropriate statement: <br /> Q This dealership is permitted use within the above zoning district for the.type of business indicated above and- <br /> there-are-no zoning complaints or enforcement actions,pending at this time. <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: AlC4 6, <br /> Zoning Authority Phone Number ( S Z) <br /> Subscribed,and sworn to before me this <br /> -r <br /> day of u c 200L,, <br /> x <br /> NOTARY PUBLIC <br /> (Si a of Zoning Authority) <br /> COUNTY: I-/ -I <br /> RACHEL DODGE My COMMISSION EXPIRES % 3 <br /> NOTARY PUBLIC-MINNESOTA <br /> My Commission Expires Jan.31,2010 <br /> PS2421-01 <br />