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� <br /> MINNESOTA DEPARTMENT OF PUBLIC SAFETY FFICE USE ONLY <br /> , DRIVER AND VEHICCE SERVICES <br /> 445 Minnesota Street fALER NUMBER: <br /> Saint Paul,MN.55101-5186 ATE RECEtVED: <br /> Phone:(651)296-2977 ��: , <br /> Web:dvs.dps.mn.gov Emait: DealerQuestion�state.mn.us <br /> Minnesota Vehicle Dealer License -Zoning Verification <br /> The Zoning Offi'cial for the jurisdiction in which the dealership resides must complete focm. <br /> Zoning Disfrict: $-�, l�a1�L{Qe� �u���v�c �,sr�2�c� <br /> This form is for check one : nma Location Additional l�ocation (Attach a separate � <br /> � � � ry � Commercial Checklist PS2410 for each location <br /> DEALER NAME �I�2� S!�'Ki �d�+2.SNA' , fi1�L <br /> s�eet �z2Z No�r�r s t�� —b R.r v�.. <br /> c��,_W hY-��'�'�- stateMN zip s 5391 County ���I�N�f+tr1 . <br /> Type of Dealer's License (Check One) • ' <br /> ❑IVEW �USED �LESSOR �D.�B. �WHOLESALER �BROKER �AUCTIONEER ❑SALVAGE POOL ❑LIMITED USE VEHICLE <br /> �' a/uaM4DdttE SAtES n�H� �4-pl?�f+R12e?A $Y o+2.�N D Cs�E , <br /> Please Check Appropriate Statement: <br /> �his dealership is permitted use within the above zoning district for the type of business indicated <br /> above and there are no zoning complaints or enforcement actions pendin at this time. <br /> D�� �Nl� �� �� -,5-���C���-�wS <br /> 5q�� oF ��'r�i� sKr r�nT�own�t.o�B���S . <br /> This dealership is permitted.conditional use within the above zoning district for the type of business <br /> n indicated above and #here 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 Zon�ng Authority: M�clf4L-� /� GA�F�N ; �ssT; �jr-r��DritIN1ST��Zr,2 <br /> G>�'" d� ���,c,� �'YI/l) <br /> Zoning Authority Phone Number: ��2-Z'-��- ��o�C� <br /> . Subscribed and sworn to be#ore me this <br /> /�/�� - I�T day of G� 20 1 � <br /> x � �-�-� <br /> (Signature of Zoning A�thority) NOTARY PUBLI �-! <br /> COUNTY: <br /> . MY COMISSION EXPIRES: I -3� ' �7 <br /> . " ~ MONICAA.FADNESS <br /> � ' NOTARY PUBUC-MINNESOTA <br /> ''•:.i..;��� My Commission Expires Jan.31.2017 <br /> PS2421-03(07/11) <br />