"Application for Salvage and Storage Certificate of Compliance" - Kansas

Application for Salvage and Storage Certificate of Compliance is a legal document that was released by the Kansas Department of Transportation - a government authority operating within Kansas.

Form Details:

  • Released on April 1, 2019;
  • The latest edition currently provided by the Kansas Department of Transportation;
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KANSAS DEPARTMENT OF TRANSPORTATION
Application for Salvage and Storage Certificate of Compliance
(Application)
st
Annual Fee is $50.00 (after July 1
$25.00)
Business Name: ____________________________________________________________________
Address: __________________________________________________________________________
City: __________________ State: _____________________ Zip Code: ______________________
Telephone Number: ________________________ Email:__________________________________
Owner Name (s)
Residence Address/City/State/Zip
Phone No.
__________________________________________________________________________________
__________________________________________________________________________________
Location of Salvage Storage Site (If address is different than Business location listed above)
Address: __________________________________________________________________________
City: ____________________________ Zip: ______________ County: _____________________
Nearest City or Town: _____________________________________________
Is your site located within the city limits? Yes _______ No ________
Name of nearest highway to this location of salvage storage: ______________________________
Approximate distance (feet or miles) from highway to this location: ________________________
Has this salvage site ever been certified? Yes _______ No _______
Is salvage at this location screened? Yes ______ No _______
Name of Landowner of Salvage Storage Site: ___________________________________________
Landowner’s Address: _____________________________________ City: ___________________
State: _____________________ Zip Code: __________ Telephone Number: _________________
I certify that as proprietor, partner, or corporate officer of the firm named in this application, I have the authority
to sign and submit this original application and the information contained herein is true and correct.
________________________________________
______________________________
Signature of Owner/Operator
Date
Failure to complete this Application or giving false and/or misleading information will disqualify this application. If you need further
assistance please call Toll Free 1 (877) 461-6817, Hearing Impaired 711, or email us at
KDOT#ROW.Signs@ks.gov
Fax: (785) 296-
6946
Mailing Address:
Return: a) Application
Kansas Department of Transportation,
b) Copy of the Land Deed on file with County
st
Bureau of Right of Way, Salvage Section
c) Annual Fee $50.00 (after July 1
, $25.00)
700 SW Harrison Street
d) Zoning Attachment
Topeka, Kansas 66603-3745
e) Property Diagram from City or County
www.ksdot.org/bureaus/burRow/beaut/
Rev 04/19
KANSAS DEPARTMENT OF TRANSPORTATION
Application for Salvage and Storage Certificate of Compliance
(Application)
st
Annual Fee is $50.00 (after July 1
$25.00)
Business Name: ____________________________________________________________________
Address: __________________________________________________________________________
City: __________________ State: _____________________ Zip Code: ______________________
Telephone Number: ________________________ Email:__________________________________
Owner Name (s)
Residence Address/City/State/Zip
Phone No.
__________________________________________________________________________________
__________________________________________________________________________________
Location of Salvage Storage Site (If address is different than Business location listed above)
Address: __________________________________________________________________________
City: ____________________________ Zip: ______________ County: _____________________
Nearest City or Town: _____________________________________________
Is your site located within the city limits? Yes _______ No ________
Name of nearest highway to this location of salvage storage: ______________________________
Approximate distance (feet or miles) from highway to this location: ________________________
Has this salvage site ever been certified? Yes _______ No _______
Is salvage at this location screened? Yes ______ No _______
Name of Landowner of Salvage Storage Site: ___________________________________________
Landowner’s Address: _____________________________________ City: ___________________
State: _____________________ Zip Code: __________ Telephone Number: _________________
I certify that as proprietor, partner, or corporate officer of the firm named in this application, I have the authority
to sign and submit this original application and the information contained herein is true and correct.
________________________________________
______________________________
Signature of Owner/Operator
Date
Failure to complete this Application or giving false and/or misleading information will disqualify this application. If you need further
assistance please call Toll Free 1 (877) 461-6817, Hearing Impaired 711, or email us at
KDOT#ROW.Signs@ks.gov
Fax: (785) 296-
6946
Mailing Address:
Return: a) Application
Kansas Department of Transportation,
b) Copy of the Land Deed on file with County
st
Bureau of Right of Way, Salvage Section
c) Annual Fee $50.00 (after July 1
, $25.00)
700 SW Harrison Street
d) Zoning Attachment
Topeka, Kansas 66603-3745
e) Property Diagram from City or County
www.ksdot.org/bureaus/burRow/beaut/
Rev 04/19
Zoning Attachment
KANSAS DEPARTMENT OF TRANSPORTATION
Zoning Information for Salvage Storage Site Application
ZONED COUNTIES OR CITIES – This section is to be completed by either the COUNTY or CITY
zoning office, whichever has control over the zoning of the location listed on the Application.
Is this site under local zoning ordinance or resolution? Yes ___ No ___ (If no, see UNZONED below)
What is the zoning at this site? Agricultural ____ Commercial ____ Industrial ____
Residential ____ Other __________________________________
Are there outstanding legal actions by your city/county/state government against this site at this time?
Yes ___ No ___ If yes, please explain: _________________________________________________
Was this site in existence before local zoning ordinance or resolution? Yes ___ No ___
Is this site required by local zoning ordinance or resolution to have some type of screening?
Yes ___ No ___
Does this location meet local approval? Yes ___ No ___
I certify I have answered the questions and to my knowledge the answers are true and correct.
________________________________ ________________________________ ________________
Signature of Official
Title
Date
Name of Zoning Official (Please Print): __________________________________________________
Address of Zoning Office: ____________________________________________________________
Telephone Number: _____________________________
UNZONED COUNTIES OR CITIES -This section is to be filled out by a local Official.
Is this site under a local ordinance or resolution disallowing the use of this site as a salvage and storage
location? Yes___ No___ (If yes, then the site cannot be certified.)
Are there outstanding legal actions by your city/county/state government against this site at this time?
Yes ___ No ___ If yes, please explain: _________________________________________________
________________________________ ________________________________ ________________
Signature of Official
Title
Date
Name of Official (Please Print): ________________________________________________________
Address of Official Office: ____________________________________________________________
Telephone Number: ______________________________
If you need further assistance, please call Toll Free 1-877-461-6817 or email us at
KDOT#ROW.Signs@ks.gov
Fax: 785-296-6946
www.ksdot.org/bureaus/burRow/beaut/
Rev 04/19
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