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Following Applies To First-time Dealer Applicant Or <br />Application For Amended License Because of <br />Business Relocation or Ownership Change <br />Proper local officials must sign below, BEFORE submitting this application. All applicants complete section A. <br />If business is located in a town, complete both sections A and B. <br />Section A <br />Business Name / Location <br />1. Operation of this dealer business at the location(s) stated above is in accordance <br />X <br />(Signature) <br />(Official Title) <br />2. Check one box and sign below: <br />❑ A local permit or license is required and has been issued. <br />❑ A local permit or license is not required. <br />(Signature) <br />Section B <br />(Official Title) <br />c9,1S 7 .1'T,+T 7- <br />,51 1E <14j <br />V IF <br />zoning regulation. <br />(Municipality) <br />(Municipality) <br />Business Name / Location ,y S <br />&PAb� Sf J <br />I6 AX -it o��L C' tL (0 LL (- atw 6'\,gA C,4ie_ f -W72 <br />County Zoning Approval - required only if business is located in a town. <br />Operation of this dealer business at the location(s) stated above is in accordance with local zoning regulation. <br />03 �q�zo�g <br />t <br />2m��ti�i � wi��i�s�v�g�t_ �urh df <br />(Signature) (Official Title) (County) <br />tfusiness Facilities Include - Check ALL that apply. <br />[�r,A business office in a permanent building, not a residence, tent, or temporary stand. <br />FT� A display lot on the same block or directly across the street from the office. <br />❑�J A repair shop OR <br />❑ A service agreement with a nearby repair shop. Copy of service agreement attached. <br />Anti ipated Date Business Facilities Will Be Ready �5►� � rT�,s 1cac�}���•�. is � ��.i`���-}n5 J�V <br />I.f business address on reverse side does not include a specific street number, furnish directions to your business location, <br />Including highway numbers or letters and distances. <br />P'l k- Kle <br />�a rev\ Fe Y- <br />(ark 141-01d5 ay� /� <br />yrs I (tA r^ -D - 60 ? <br />