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HOP2002-00104 CITY OF TIGARD HOME OCCUPATION PERMIT TYPE: I DEVELOPMENT SERVICES PERMIT M HOP2002-00104 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/21/2002 APPLICANT NAME: GLADYS MORRIS BUSINESS ADDRESS: 13070 SW WOODSHIRE LN PARCEL: 2S104DC-09400 ZONING: R-4.5 JURISDICTION: TIG NATURE OF BUSINESS: Conduct purchasing services to goverment agencies via internet, facimail and telephone, placing bids, locating suppliers and delove in on the contract. BUSINESS NAME: PROCUREMENT SOLUTIONS LLC 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). dDIL Permittee Si na ure Issued by PRE,W. HELD BY: CITY OF TIGARD PLANNING DIVISION 13125 SW HALL BOULEVARD TIGARD, OR 97223-8189 503.639.4171/503.684.7297 CITY OF TIGARD OREGON LAND USE PERMIT APPLICATION File # An 1P p to Other Case # {a Date 21 By Receipt # 2c►ox - 3013 Date Application Complete 2 c~~ TYPE OF PERMIT YOU ARE APPLYING FOR ❑ Adjustment/Variance (I or II) ❑ Minor Land Partition (II) ❑ Zone Change (III) ❑ Comprehensive Plan Amendment (IV) ❑ Planned Development (III) ❑ Zone Change Annexation (IV) ❑ Conditional Use (111) ❑ Sensitive Lands Review (1, II or III) ❑ Zone Ordinance Amendment (IV) ❑ Historic Overlay (11 or III) ❑ Site Development Review (II) [Home Occupation (0) ❑ Subdivision (11 or III) (Address i available) 3 V3)D-+C> 5W W00d Shire L-a()- and p L772--Z 5I 4 D C- 09 0i3 . II Glad 5 J~fo r1s PO eox Z90 y~G PHONE NO. FAX N(J. 5-63- 521 X39(v PRIMARY CONTACT PERSON PHONE NO. 61&d s Ajorrs Y03- 521 - 1394 PROPERI Y OWNER/DEED HOLDER (Attach is i more an one &ICEJ S Marrs 445_5 a/) go (All a?? 9!!JA 144 PO 80X 230 ynp, T~ ord, OK q~28/ - dy~b PHONE No. t-AA NU M3-5Z/ - /3910 "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 owners must sign this application in the space provided on the back of this form or submit a written authorization with this application. -PROPOsALSLIMMARY ease be specific) a r -e r -iv r CL c a FA7PPLICATIONS WILL NOT BE ACCEPTED WITHOUT ALL OF THE REQUIRED SUBMITTAL ELEMENTS AS ESCRIBED IN THE "BASIC SUBMITTAL REQUIREMENTS" INFORMATION SHEET. THE APPLICANT SHALL CERTIFY THAT: If the application is granted, the applicant shall exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. ♦ All the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so acknowledge that any permit issued, based on this application, map 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(s). SIGNATURES OF EACH OWNER OF THE SUBJECT PROPERTY ARE REQUIRED. 2ao Z Owner's Sign ture Date ?/Z-(7 /d-2, Owner's Signa re Date Owner's Signature Date Owner's Signature Date Owner's Signature Date ApplicantlAgent/Representative's Signature Date Applicant/Agent/Representative's Signature Date SUPPLEMENTAL QUESTIONNAIRE TO APPLY FOR A HOME OCCUPATION PERMIT TYPE II, PLEASE ANSWER THE FOLLOWING QUESTIONS: Business Name:_ Ll.., PROPOSAL SUMMARY: Roa4rement The owners of record of the subject property request approval of a Home Occupation Permit to allow (please be specific): e_ r ' V) C Rom ; 1 R or- vernrnen-+- nfNn-hr4ts: SPECIFICATIONS: Specify whether you are using a detached building on your property and give the dimensions: A64 1. Will you have any paid employees or subcontractors working in the home in conjunction with the business who are not residents of the home? No ❑ Yes (If yes, please explain): 2. Will you have customers/clients coming to your residence? No ❑ Yes (If yes, how many per day?): 3. What will your hours and days of operation be? 4. ~Wilill the business generate any noise which can be heard outside of the structure? L`7 No ❑ Yes (If yes, please explain): 5. How many square feet is your residence and how many square feet will be devoted to the operation of your business, including storage areas? 2.10:5 0 C i eri S 6. Will you have any signs or advertising visible from the exterior of the premises? No Yes (If yes, please explain): 7. Please show the floor layout of your house and the area to be used for your home occupation on the graph paper on the back of this page. Please designate those areas which shall be utilized as follows: A. entirely for the home occupation; and partially for the home occupation. 3 d GX w { 5 k4. 54ci irs s b c 5 4 Receipt 27200200000000003086 Date: 08121/2002 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 Tax - 20.6100 @ $1.00 100-0000-430000 $20.61 HOP2002-00104 [LANDUS] Type I Permit Fee 100-0000-438000 $30.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check GLADYS MORRIS HOURMANESH KJP 0404 $50.61 TOTAL AMOUNT PAID: $50.61 h. G..