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II TYPE Of LICENSE lielNO APPLIED FOR: ~Llmlt6d used vellfcle License _Lessor "~_Wt1olesaler _"_salvagfJ Pool CHECKLIST DESCRIBES THE PRIMARY SITE A.DPI'rIONAlI.OCATION OF THIS I..ICEf-JSE. a separate cr1€ckllst must be submitted for eaCh IOC'8tlon operating under tills lI(.ens(~) CHECii: IIElIE IF RETAil SALES .../ill BE CONDUCTED AT THIS sITe. GHfi:K lilHle II' tHe AflOITlONAI. lOCATION IS A DisPLAY LOT ONLY, A.ND RESPONO TO !lTATC;ME!~TS 2, 1 & S. Is a Ci,cckHst for cjearers required to have commercial Bulldfn~ls ' ((.JEW, USED, SALVAGE POOL, or AUCTIONEER) or cornrnerclal office space H (lESSOR WHOLESALER, or BROKt:RJ. 2 3 .1 I.' .J t~ ., B 9 10 1'! MAY 25,2004 14:49 followIng True/False ?tq!ements regarding to.!? dealership site listetl at tll~ at}(J.~f?~lddress. REOUIR~MeNT All books and recordS necessary to coMuct !)uslness are kept ,It tne main location (cOpleSl11ilV be kept at Adq!l'..9D~U...2~il.ti0[1S)-,___________________.~____._ TI1e above locatIon Is owned bV tne dealer or is leaseei for a minimum Ot one- year. If le3sed, Dealer Lease Form must t)e att21Cllecl. II owneej prOOf Of ownerstliP l"r}ust be attaC!18r). ___~_~_______________________.__~._" mere 1$ a separate and idt~ntifiable entrance to tne CieillerSl>lp tflat lear.], to tIle USED ootcloars or to a publiC area. Note: sharel.1 office space such as ;l me(~ptlon an,3 or secretary pool does not QUl!U,fY;)$ a Plll~~f2E':.'L n. TIle above dealerS/lip I~ not acceSset1 by enterlt1~l tnrou(m any otner" tJusiness or rcsltlence that is focateeJ in tlle bullc1lng. LESSOR, WHOLESALER, BROKER, LIMITED EXEMPT LESSOR, WHOLES,li,lER , BROKER. LIMITED USED EXEMPT '~---' --~--- LIMITED USED EXEMPT LIMITED USED EXEMPT LESSOR. WHOLESALER, BROKER. AUCTIONEER. LIMITED USED EXEMPT LESSOR, WHOlESALER. AUCTIONEER. LIMITED USED. EXEMPT ---~- WHOLESALER EXEMPT l"he anove location IS enclosecj with floor to C~1i/ir)g wall, wit!! a GaOl' tnat can 1)f3 shut and locked to close off the entf'"f, entrance aneJ is desigm!ted for till': eXClusive use of tile clealersliin. ___........._,._--..---- Tile at)[1Vl~ location nas an address tllat Is separate from tile adrJress Of ,mv n1:tler tJlJslness in tile bUIIClIng (suite numtJer woult! qualify). , ._~m_~---- '. "_._~.~-. . . "-----'1 Hils dealerSl1lP lias a (llSPlay area. eltl1er In0001'5 or outrjooe;;, large enuugrl to ! cl!SPt<1V at least 5 vehiCles and ttllS cfispl3V area Is (leslgnated for tile oxclusive j. use 01 tf10 ocale..cg,lp and Ji CliS!:~12u!sllat)le from any o.ti~~!:..t)u:iinf.Sst:'s i!}Vcl1torv... PI Slgfl fClcntifying the dealerstllp is dlsplaverl on tl18 out:5lrje OJ- i.1 comrner:ci;j! I Duliding, in a put)l[c area if cornmerCla! office space, or somewtlen~ on tile premlSOS if tile a(1dr~9nilUocatlon !S a (J~QlilV lot. <... TM normal business 11r)lH'S 'H'e conspiCUously posted on the cfe<llt~r':~hlp all(l are readllv viewable bv tt1f! public 'UH . _~._~_~..~~ Personnel or automatic telopnone answerin9 service ,ire I1vallat)le eJUl'fnf.J nornl,1l tHlslness liOLll'S. {NEW rnotor v~.b-19!'!. rJeall,rs m~t have .\?~~9l1t1el J\I<IU,I!JJ~~ ZONING APPROVAL UMITED Tile above location rneet;S all local zoning requirements as \ri(HcateCl on tile USED EXEMPT MUST liE reverse side of tllis form. err .(fj~ eiF" ri:!'" vr- r1i'" (7!r (i!l~ (JY' (ifF' r.'fF(iT(ft~ <XJMI'lETED eYITIE ZONINO OFFlCfIi ~ 1:1. ..-.-----..~.--, (REOUIRED FOF! me (10alerStllp l1as a facllltv for the repaIr a(1(1 senilee of nwtor vellfCles 3nd-tt~e I NEW motor vetl/cle 5tort~'~IO Of parts not more tnan ten miles distance from tile prlncip,lI Place J01 ' dealers on/v) business. __ rhe above place of business meets ALL standards as outlined above. I understand that any misstatement eonstitutes matel"i31 misrepreseneatiQn-~ ~Ubj~tC.tS t!J~;lit~f1n~.J.Q,.?withdraWal. S!CHATURE-OWNERlOFFICER 4Av','/'_ ) . (:1', I' "', _ ~..d(lte 651 297 2937 Page 2