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HomeMy WebLinkAboutLZC200600010 Legacy Document 2014-03-31The above referenced business is applying to the Department for license as a : APPLICANT TO CHECK EACH LICENSE ZONING OFFICIALS SIGNATURE INDICATING PROPER ZONING APPLIES BEING APPLIED FOR FOR EACH USE CHECKED BY APPLICANT ❑ SALVAGE DEALER DEMOLISHED CI REBUILDER E] SALVAGE POOL D VEHICLE REMOVAL OPERATOR Na— Tale Name .Tale 71 e Title Name Definitions are printed on the back of this form. T!t,e T,fle 4P[)So OF ZONING COMPLIANCE 65 (,09194;CE""ICATION TO: DEPARTMENT OF MOTOR VEHICLES DEALER SERVICES DIVISION 0 Z o From: )14 Date: tvg/ TOWN CITY CR COUNTY OF Q F- U m PIRAEAFUSINESS Ifely6— ( �-Aqrjc -hh S,/, 1 /,!-, STREET ADDRESS CITY ZIP CODE In this section the applicant shall indicate license(s) being applied for and the zoning official is asked to sign indicating proper zoning is in effect for each use being applies for: Virginia Code Section 46.2-1601 requires that any person engaged in business in the Commonwealth as one or more afthe following must be licensed and be in compliance with alt applicable zoning ordinances. The above referenced business is applying to the Department for license as a : APPLICANT TO CHECK EACH LICENSE ZONING OFFICIALS SIGNATURE INDICATING PROPER ZONING APPLIES BEING APPLIED FOR FOR EACH USE CHECKED BY APPLICANT ❑ SALVAGE DEALER DEMOLISHED CI REBUILDER E] SALVAGE POOL D VEHICLE REMOVAL OPERATOR Na— Tale Name .Tale 71 e Title Name Definitions are printed on the back of this form. T!t,e T,fle VIRGINIA CODE SECTION 46,24600. DEFINITIONS: "SALVAGE DEALER" Means any person who acquires any vehicle for the purpose of reselling any parts thereof. "DEMOLISHER" Means any person whose business is to crush. flatten, or otherwise reduce a vehicle to a state where it can no longer be considered a vehicle. "REBUILDER" Means any person who acquires and repairs, for use on the public highways, two or more salvage vehicles within a twelve-month period "SALVAGE POOL" Means any person providing a storage service for salvage vehicles or nonrepairable vehicles who either display the vehicle for resale or solicits bids for the sale of salvage vehicles or nonrepairable vehicles, but this definition shall not apply to an insurance company which stores and displays fewer than 100 salvage vehicles and nonrepairable vehicles in one location; however, any two or more insurance companies who display salvage and nonrepairable vehicles for resale. using the same facilities, shall be considered a salvage pool. "VEHICLE REMOVAL OPERATOR" Means any person who acquires a vehicle for the purpose of reselling it to a demolisher, scrap metal processor, or salvage dealer. DSD 10A (2195) I FOR DMV USE aONLY COMMONWEALTH OF VIRGINIA C. & 0. FEE FTOTAL FEE m y DEPARTMENT OF MOTOR VEHICLES P.O. BOX 27412, RICHMOND, VIRGINIA 23269-0001 AMT, OF CHECK CHECK NO. SALVAGE VEHICLE DEALER, DEMOLISHER, REBUILDER, —RTuia, OVERPAY I —OVERPAY 1 SALVAGE POOL, VEHICLE REMOVAL OPERATOR LICENSE 1111 APPROVAL APPLICATION FOR INITIAL LICENSE OR RENEWAL CLERK'S TiALS FOR LICENSE YEAR ENDING 10/31/2007 FOR DMV USE ONLY 1. TYPE OF APPLICATION Important note: If this is an initial, renewal or change in location application, applicant must submit proof of local zoning ordinance approval with this application. Cert: 14819-1-1-0-30594 RB INITIAL APPLICATION RENEWAL APPLICATION Trading As CHANGE (EXPLAIN) HALL'S AUTO BODY INC 1949 NORTHSIDE DR Aumllized Chang— address change, name change, Ownership change, CHARLOTTESVILLE VA 22911 2. TYPE OF SALVAGE BUSINESS LICENSES DESIRED SALVAGE DEALER SALVAGE POOL DEMOLISHER VEHICLE REMOVAL OPERATOR --_'ALREBUILDER S TRADING AS NAME BUSINESS HOURS 3. NAME OF BUSINESS (LIST AS POSTED) OL BUSINESS ADDRESS: STREET (P.O.TY ZIP- 'CODEI I cl VA 'Y COUNTY OR CITY JURISDICTION OF BUSINESS , �OWNER (PERSON OPERATING SUSfNESSi wN A f, LE SALVAGE DEALER'S SOCIAL SECURITY OR EMPLOYER I.D. NUMBER SALVAGE DEALERS BUSINESS PHONE OWNER HOME EH—ONE -514- 9, -2II3 ?7 3 - 8 2-,�' PRIVACY STATEMENT In accordance with Sections 2.1-196.1, 2.1-731, and 2.1-734 et al of the Virginia Code. the State Comptroller requires that this information, including your social security number, be collected for debt set off collection purposes. 4. TYPE OF OWNERSHIP, CHECK ONE: STATE IN WHICH INCORPORATED INDIVIDUAL PARTNERSHIP CORPORATION I V C. - - ------------ ----------- 5. GIVE THE NAME, TITLE AND RESIDENTIAL ADDRESS OF EACH OWNER, PARTNER AND/OR OFFICER OF THIS BUSINESS. USE ADDITIONAL SHEET(S), IF NECESSARY, AND ATTACK NAME TITLE ADDRESS Rcl- Svdfe- Vii - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------ - - - - - - - - - - - - - - - - - - - - - -- P - - - - - - Ci att, eC --e5,vd L C. �A -a 1 7 DSD IDA MJe5) 6. READ EACH QUESTION BELOW AND CHECK THE APPROPRIATE RESPONSE. YES NO A. Are you currently licensed as a Motor Vehicle Dealer or Salvage Type Dealer in Virginia? B. Have you ever been licensed as a Motor Vehicle Dealer, or Salvage Dealer in Virginia or any other state? C ________________________________________=_ Has any owner, partner, or officer of business ever been. refused a Motor Vehicle Dealer's License, i_____ Certificate of Registration, or Salvage Dealer's license or had his/her license suspended or revoked-, D, Has any owner, partner, or officer of business ever been convicted of a felony? E, Has any owner, partner, or officer of business ever been convicted of any fraudulent or criminal act in connection with the business of selling vehicles? F, Has any owner, partner, or officer of business ever been convicted of larceny of a vehicle OR receipt or sale of a stolen vehicle? G. Has any owner, partner, or officer of business ever been convicted of odometer tampering or any related violation? / / H. If the answer to any of the above questions is YES, explain (include names, dates and court jurisdiction(s). 7. CERTIFICATION. Read and certify by signing below. I certify and affirm under density of perjury that the information contained in this application is true and correct to the best of my knowledge, I understand that it is unlawful to knowingly make a false statement and any violation will be punishable as a Class 2 misdemeanor. NAME OF BUNESS 'r f: SIGNAL E OF ' WNER, PARTNER, ORO ICER OF THE BUSINESS EXECUTED AND SIGNED IN THE' COUNTY -. CITY OF 7`� {. f� --�) ✓ J pC L„ COUNTY OR CITY IN THE STATE OF i✓"!jC. C� /N t?'ON THIS DATETH - ? STATE ONDAY YEAR