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Form PS02410-07 Dealer Unit 445 Minnesota st ste 186 saint paul, Minnesota 55101-5186 COMPANY NAME: Simpson Auto Sale-s ADDRESS 2845 Haml i ne Ave S. -Room 138- If you need assistance completing this form please contact the Dealer unit at (651) 296-2977 R 0 S e v 1 I Ie, M n 5 5 113 (Own? Lease?) 1 e a s e TYPE OF LICENSE BEING APPLIED FOR: New ~Used lessor Wholesaler Broker _Auctioneer ___salvage Pool THIS CHECKLIST DESCRIBES THE PRIMARY SITE x ADDITIONAL LOCATION OF THIS LICENSE. mote: a separate checklist must be submitted for each locatIon operating under this Hcense~ ..x-.:..: CHECK HERE IF RETAil SALES WilL BE CONDUCTED AT THIS SITE. CHECK HERE IF THli ADDITIONAL LOCATION IS A DISPLAY lOT ONLY, AND RESPOND TO STATEMENTS 2, 7 & 8. This Is a checklist for dealers required to have commercial BuHdlngs . (NEW, USED, SALVAGE POOL, or AUCTIONEER) ( Commercial Office space.. (LESSOR WHOLESALER, or BROKER). Respond to the following True/False statements regardIng the dealership site listed at the above address. REQUIREMENT 1 ,,'true' Atl books and records necessary to conduct business are kept at the main loeatlor . . I '. (caples may be kept at Additional Locations), .. I ., The ab~e IQl:;atlon Is .own~d l:;)vth~d,ealer or IS lease~ f~r a mlnl~4r:n of ohe 2 lease attach~d year. If leased, Dealer lease Form must be attached. If owned proof 01 . Qwn'ershlp must be attaC;hed. . . LESSOR, WHOLESALER, . . There Is a separate and IdentIfiable entrance to the dealership that leads to thE 3 , true BROKER EXEMPT outdoors or to a pUblic area. Note: shared offIce space such as a reception are;: or secretary pool does not qualify as a public area. . .. I 4 true LESSOR, WHOLESALER, The above dealershIp Is not accessecj by entering through any other busIness or BROKER EXEMPT resIdence that Is located In the building. S The above location Is enclosed with floor to ceiling walls with a door that can be true shut and locked to clOSe off the entire entrance and Is designated for the exclusive use of the dealership. 6 true The above location has an address that Is separate from the address of any other business In the building (suite number would qualify). 7 LESSOR, WHOLESALER, ThiS dealership has a dIsplay area, either Indoors or outdoors, large enough to true BROKER, AUCTIONEER display at least 5 velllcles and this display area Is designated for the exclusive use EXEMPT of the dealerslllp and Is distinguishable from any other businesses Inventory. 8 lESSOR, WHOLESALER, A sign Identifying the dealership Is displayed on the outside of a commercial true AUCTIONEER EXEMPT building, In a public area If commercial office space, or somewhere on the premises If the additional location Is a display lot. ... t. 9 true WHOLESALER EXEMPT The normal business hours are conspicuously posted on the dealershIp and are readily Vlewab(e by the public. ..... 10 true Personnel or automatic telephone answering service are available during normal business hours. (NEW motor vehiCle dealers must have personnel available). 11 ZONING APPROVAL MUST BE The above location meets all local zonIng requirements as Indicated on the true COMPLETED BY THo ZONINO OFFICER reverse slde of this form. ar .ar rir rsr ar ar r::Ir rir r1l" (jr Grrirr:::if' 12 (REQUIReD FOR The dealership has a facility for the repair and service of motor vehicles and the \ NEW motor vehicle storage Of parts not more than ten miles distance from the prIncipal place of dealers only) bUsiness. The above place of business meets ALL standards as outlined above. I understand that any mlsstatemen constitutes material misrepresentation and subJects the Ilcense to withdrawal. SIGNA TURE.OWNeR/OFFICER~ date 5 - 5 - 2000