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MINNESOTA DEPARTMENT OF PUBLIC SAFETY <br /> OFFICE USE ONLY <br /> `t DRIVER AND VEHICLE SERVICES DEALER NUMBER: <br /> 445 Minnesota Street,Suite 186,St. Paul,MN 55101-5186 <br /> PHONE:651-296-2977 DATE RECEIVED: k <br /> FAX: 651-297-1480 INITIALS: <br /> EMAIL:DealerQuestion@mnddveinfo.org r <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: 1h aV y1 t-*6e 1 <br /> This form is for(check one): ❑Primary Location ❑Additional Location (Attach a separate <br /> Commercial Checklist PS2410 for each location) <br /> DEALER NAME <br /> Street o7(nDS tA/dMZ.1,--6' Q(r I k261- &;/6 V t - <br /> city <br /> Or6no state%lAfzip S"35G County f1•e-4494eo1l`11 - <br /> Type of Dealer's License(check one) <br /> ❑NEW ❑USED 10/LESSOR ❑WHOLESALER ❑BROKER ❑AUCTIONEER ❑SALVAGE POOL ❑LIMITED USE VERCILE <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 /> 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 ime. <br /> (Must attach a copy of the conditional use permit.) C o���c�, ���� 1}�• ,� ; <br /> Printed Name of Zoning Authority: V e��h U��Q✓ <br /> Zoning Authority Phone Number (%L) 2.4 cf— 4(020Z <br /> Subscribeo and sworn to before me this <br /> of ,avi 20 U-7 <br /> X �_ NOTARY PUBLIC day <br /> gnature of Zoning Authority) COUNTY: { ��'71,-)moiJ1 <br /> MY CONMSSION EXPIRES, I`/a � �l . <br /> =' < <br /> ,i �var <br /> I's242I-oi RACHEL DODGE <br /> N ='=i NOTARY PUBLIC-MINNESOTA <br /> My Commission Expires Jan,31,2010 <br />