Notice Of Proper Zoning Form - Secretary Of State Vehicle Services Department printable pdf download

Notice Of Proper Zoning Form - Secretary Of State Vehicle Services Department

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Secretary of State

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Secretary of State

Notice of Proper Zoning

(Year)

Secretary of State

Remittance Agent

Vehicle Services Department

License issued

Dealer Licensing Section

501 S. Second St., Rm. 069

Springfield, IL 62756

217-782-7817

In order to process your Dealer License application, you must complete the applicant section below and then have the proper

zoning jurisdiction complete the bottom portion of the form.

TO BE COMPLETED BY APPLICANT

I ____________________________________________________________ am filing an application with the Office of the

Applicant Name

Secretary of State to obtain a license to conduct the business of a ______________________________________________

Dealer License Type

located at _________________________________________________________________________________________.

Complete Address of Business

_________________________________________________________

Signature of Applicant

—————————————————————————————————————————————————

TO BE COMPLETED BY ZONING OFFICIAL

The Zoning Office of ____________________________________________________________ hereby affirms the business

Zoning Jurisdiction

mentioned above is in compliance with local zoning laws and regulations to conduct this type of business.

_________________________________________________________

Signature of Authorized Zoning Official

Subscribed and sworn to before me this _____________ day of _________________________________, 20__________.

(SEAL)

________________________________________________

Notary Public

Printed by authority of the State of Illinois. May 2015 – 3M – VSD-481.1

Notice Of Proper Zoning Form - Secretary Of State Vehicle Services Department