Fillable Form PS2421-08 Minnesota Vehicle Dealer License - Zoning Verification

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Form PS2421-08 Minnesota Vehicle Dealer License - Zoning Verification

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The Form PS2421-08 Minnesota Vehicle Dealer License - Zoning Verification form is 1 page long and contains:

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The Zoning Official for the jurisdiction in which the dealership resides must complete form.
Type of Dealer's License (check one):
Please Check Appropriate Statement:
X
(Signature of Zoning Authority)
PS2421-08 (08/16)
Minnesota Vehicle Dealer License - Zoning Verification
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
445 Minnesota Street, Suite 186
Saint Paul, MN 55101-5186
Phone: (651) 201-7800 Fax: (651) 297-1480
Web: dvs.dps.mn.gov Email: DVS.DealerQuestion@state.mn.us
Zoning District:
This form is for (check one):
Primary Location
Additional Location (Attach a separate Commercial
Checklist Form (PS2410) for each location)
CountyZipStateCity
Street
DEALER NAME
This dealership is permitted conditional use within the above zoning district for the type of business
indicated above and there are no zoning complaints or enforcement actions pending at this time
(Must attach a copy of the conditional use permit).
This location complies with local sanitation codes, or otherwise complies with local ordinances.
This dealership is permitted use within the above zoning district for the type of business indicated
above and there are no zoning complaints or enforcement actions pending at this time.
This location complies with local sanitation codes, or otherwise complies with local ordinances.
MY COMISSION EXPIRES:
COUNTY:
NOTARY PUBLIC
_______ day of______20 _____
Subscribed and sworn to before me this
Printed Name of Zoning Authority:
Zoning Authority Phone Number:
NEW USED LESSOR D.S.B. WHOLESALER BROKER AUCTIONEER SALVAGE POOL
LIMITED USED
OFFICE USE ONLY
INITIALS:
AREA:
COUNTY:
DATE RECEIVED:
DEALER NUMBER:
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Form PS2421-08 Minnesota Vehicle Dealer License - Zoning Verification

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Completed 30 January 2020

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