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HOP2001-00047 k.. CITY OF TIGARD HOME OCCUPATION PERMIT TYPE: I DEVELOPMENT SERVICES PERMIT#: HOP2001-00047 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/18/2001 APPLICANT NAME: CHRISTINE LOUGH BUSINESS ADDRESS: 10958 SW DURHAM RD B 024 PARCEL: 2S115AA-00800 ZONING: R-25 JURISDICTION: TIG NATURE OF BUSINESS: Internet computer cable-sales-retail. BUSINESS NAME: CABLES BY CHRISTINE SQ FT - DETACHED: GENERATE EXTRN NOISE: N SQ FT - RESIDENCE: DAYS/HOURS OF OPS : SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: N SIC CODE: PAID NON RES EMPL: N OUTSIDE STORAGE: N CUST/CLIENT @ RES: N EXTERIOR SIGN?: 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). h 41- Permittee Signature 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: 109 c S<,-,, S~ Du9--i4 N .-t f--t, KP 2 k4 Tih:A R 'D, mil? 9 7 2, ZLf Tax Map 8, Tax Lot a51.1 ; 14,4 - OPYW Zone: ZS Property Owner/Deed Holder(s)': OAS 2EE A P-r S FOR STAFF USE ONLY Address: ►C)"lg 2- S -t~ y zt- Ak" 4-Phone: S'Q 3 (a 39 1 c t 1 Case/PermitNo.: fQ Z~ i -O City: 1 C l~~- D Zip: q 1 2-24- Other Case ' No.(s): Applicant: CH~~ S-nN~ ~ovG M~ Filing Fee=Red'd.:$ Address: 1 S(oq S c,v,~ I kv Tv4 N41E Phone: Sc3 (off 5~~ i Receipt: No.: a n 1 - Z A 2-G1 S Application Approved By: Business Phone: Date Approved: City: Pc, C:-r ua..z-p , C (L Zip: <D1-1 2-2-4 Business Name: CRa t-E-S 3 Y G4 P- l ST Nature of Business: tr-j-r ~ E T C~ 1---' PU ~ Business Tax Paid? VYes ❑ No Business Tax Receipt No. Rev. 1126/98 iAcurp1nVnasterslhop1.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 REQUIRED SUBMITTAL ELEMENTS application. ✓ Application Elements Submitted: THE APPLICANT SHALL CERTIFY THAT: ✓ The above request does not violate any deed restrictions that Application Form may be attached to or imposed upon the subject property. ID/ Owner's Signature/Written Authorization ✓ If the application is granted, the applicant will exercise the rights proof of Business Tax Certificate granted in accordance with the terms and subject to all the conditions and limitations of the approval. ]/Filing Fee: C.O.T. Fee~_. $ 30.00 ✓ All of the above statements and the statements in the plot plan, URB. SVCS. Fee: $17a:0 attachments, and exhibits transmitted herewith, are true; and the applicants so acknowledge that any permit issued, based on this 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 Receipt 27200100000000002088 Date: 05/18/2001 T I D E M A R K COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due BUSTAX Business ax - 36.6 100-0000-430000 $36.64 HOP2001-00047 Type Permit Fee 100-0000-438000 $30.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check CHRISTINE LOUGH 0 914 $66.64 TOTAL AMOUNT PAID: $66.64