HOP2001-00046
CITY OF TIGARD HOME OCCUPATION PERMIT
TYPE: I
DEVELOPMENT SERVICES PERMIT HOP2001-00046
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/15/2001
APPLICANT NAME: VERN SANDERS
BUSINESS ADDRESS: 09700 SW FREWING ST
PARCEL: 2S102CA-00600 ZONING: R-4.5 JURISDICTION: TIG
NATURE OF BUSINESS: Landscaping Services
BUSINESS NAME: VERNS TREE SERVICE
SQ FT - DETACHED: GENERATE EXTRN NOISE: N
SQ FT - RESIDENCE: DAYS/HOURS OF OPS :
SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: N
SIC CODE: OUTSIDE STORAGE: N
PAID NON RES EMPL: N EXTERIOR SIGN?: N
CUST/CLIENT @ RES: N
PICK/DELIV @ RES: N
ACKNOWLEDGEMENT:
I understand this Home Occupation Permit is approved for the above described business at the specified location
only, and does not require renewal. Further, I understand that the City of Tigard Business Tax must be renewed
annually in order to maintain permit authorization.
I acknowledge that this Home Occupation Permit approval may be revoked if the conditions and standards of
approval have not been complied with and/or this home occupation is otherwise being conducted in a manner
contrary to the Tigard Community Development Code (18.42). Permit revocation due to a violation of
requirement(s) of this Home Occupation Permit cannot be renewed for a minimum period of one year.
(18.142.090).
Permittee Sig ture Issued by
HOME OCCUPATION
TYPE I APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297
GENERAL INFORMATION
Property Address/Location: 00 l L l)
Tax Map & Tax Lot#: c~/QZCA -0oLo'0 Zone:< 5
~Perr(hlA)"~s~ FOR STAFF USE ONLY
Property Owner/Deed Hold1~ r ~ ~ e e r ► n S
Address: I ,;L195 S.11J. I C+%rlc Phone:. D 3 - 5r& 1- 3067
Case/Permit No.:
City: Zip: q 7-2;t3 3 ~a Other Case No.(s):
Applicant*:_ "e rn 5a gderS Filing Fee Rec'd.:$
Address: X17 C; . Y-)' F, tt;,'n G : Phone: 5-03 -Jr q8- b 3y/ Receipt No.:
Business Phone: ZA M 6~- Application Approved By:
Date Approved:
City: I ;.94 r-J Zip: 47,2.23
Business Name: VZrh S~Tree Ser✓; e- f- Comp Plan/Zone Designation:
Nature of Business: a v Flo riSff -f r i "I t"" r a I a w n s
Business Tax Paid? ❑ Yes ❑ No
Business Tax Receipt No.
Rev. 11/26/98 iAcurp1n\masters\hop1.doc
* When the owner and the applicant are different people, the
applicant must be the purchaser of record or a lessee in possession
with written authorization from the owner or an agent of the owner.
The owner(s) must sign this application in the space provided on the
back of this form or submit a written authorization with this
application. IL
REQUIRED SUBMITTAL ELEMENTS
THE APPLICANT SHALL CERTIFY THAT:
✓ The above request does not violate any deed restrictions that ✓ Application Elements Submitted:
may be attached to or imposed upon the subject property.
✓ If the application is granted, the applicant will exercise the rights ❑ Application Form
granted in accordance with the terms and subject to all the ❑ Owner's Signature/Written Authorization
conditions and limitations of the approval.
❑ Proof of Business Tax Certificate
✓ All of the above statements and the statements in the plot plan,
attachments, and exhibits transmitted herewith, are true; and the ❑ Filing Fee: C.O.T. Fee: $ 30.00
applicants so acknowledge that any permit issued, based on this URB. SVCS. Fee: $175.00
application, may be revoked if it is found that any such statements
are false.
✓ The applicant has read the entire contents of the application,
including the policies and criteria, and understands the requirements
for approving or denying the application.
1
'j Receipt 27200100000000002012
Date: 05/1512001
T 1 1) EsrM A,RcK
COMPUTER Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
BUSTAX Business Tax - 34.3500 .00 100-0000-430000 $34.35
HOP2001-00046 LA DU ] Type Permit Fee 100-0000-438000 $30.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash VERN SANDERS $64.35
TOTAL AMOUNT PAID: $64.35
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