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
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Name .Tale
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e Title
Name
Definitions are printed on the back of this form.
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OF ZONING COMPLIANCE
65 (,09194;CE""ICATION
TO: DEPARTMENT OF MOTOR VEHICLES
DEALER SERVICES DIVISION
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From: )14 Date:
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TOWN CITY CR COUNTY OF
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PIRAEAFUSINESS
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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 - - - - - -
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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