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• <br /> Following Applies Only To First-time Dealer Applicant Or <br /> Dealer Application For Amended License Because Of Business Relocation <br /> Proper local officials must sign below, PRIOR to submission of this application. If business is located in a town, BOTH <br /> county and town approval must be obtained. If business is located in an incorporated village or city, only municipal <br /> approval must be obtained. <br /> Operation of this dealer business at the location as stated on the reverse side is in accordance with local zoning <br /> regulation. <br /> ,C.tiiS -.--z_ Sc'c. ��14, iIr3/9v //- /r, S c - — <br /> (Signature) / (Official Tie) )County) <br /> (Signature) (Official Title) (Municipality) <br /> A local permit or license is required and has been issued. <br /> A local permit or license is not required. <br /> -------- (Signature) -7— (Official Title) ----- / (Municipality)- <br /> P,,,rT � � t'+e SW% Si,i/ ,r s' .Ti-" /I', rvw1 cl 1�o:k� deSC.: bc� •-s F� k. v.: CJM•.C.�Cr.,1 I 1t � <br /> Furnish legal description of dealership property. <br /> v1 <br /> tn-0lWeS Cot 11e 0-P 5464 SeG� ioy « 11\QNCe r� <br /> P•pJ Peet fie 17\e rvin1- oT : itt ist i evkC "e j <br /> ttCt , _-P r`C �e ° L./ ZU(� v �Cf.i f �Q �'1 C e <br /> ( ' JI✓ S 33 0 fee'I I �� 4- r (‘11 beck hni rt y . <br /> The$10.00 Dealer Finance License fee MUST be paid prior to our processing and issuing a Dealer License. If you did not <br /> initiate(prepare) or carry installment sales during the past year and will not do so during the next year, enclose a separate <br /> $10.00 check payable to: Office Of Commissioner Of Banking and sign below to certify the following statement: <br /> "I certify that our dealership has neither initiated (prepared) nor carried installment sales contracts during the past year and <br /> will not do so during the next year." <br /> X <br /> -_ ---_- --- _ -(Authorized Representative) -- _-- <br />