HOP2005-00013
CITY OF T I GA R D HOME OCCUPATION PERMIT
TYPE: I
DEVELOPMENT SERVICES PERMIT HOP2005-00013
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/24/2005
APPLICANT NAME: DIANE BOHAN
BUSINESS ADDRESS: 14115 SW FERN ST
PARCEL: 2S10413C-00600 ZONING: R-7 JURISDICTION: TIG
NATURE OF BUSINESS: Home occupation type 1 for long arm quilting business.
BUSINESS NAME: DIANE'S QUILTING SERVICES
SQ FT - DETACHED: GENERATE EXTRN NOISE: N
SQ FT - RESIDENCE:
DAYS/HOURS OF OPS
SQ FT - BUSINESS:
BUS. VEHICLES GARAGED @RES:
SIC CODE: OUTSIDE STORAGE: NONE
PAID NON RES EMPL: N EXTERIOR SIGN?: N
CUST/CLIENT @ RES: N
PICK/DELIV @ RES:
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 (18.742). Permit revocation due to a violation of requirement(s) of this Home Occupation Permit cannot be
renewed for a minimum period of one year. (18.742.070).
C 0 (`C~c rZ G~ GCS
Approved By Permittee Signature
_ 02'16,'2005 14:39 FAX 5035981860 CITY OF TIGARD OU2
HOME OCCUPATION
TYPE I APPLICATION
CITY QF TIOARD 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297
GFNERAI- INFORMATION
Property Address/Location:
Tax Map & Tax Lot o~ 1J ' ~~00 Zone: ' . z'S~ FOR STAFF USE ONLY
Property OwneriDeed Holder(s):
Case!Permit No.: ~ D I d005 o y0)
~ `
Address: /ll S S F~ ► ► ~~T Phone: Other Case No-(s):
City, , r GD Yoh - zip: 7~3 Filing Fee Rec'd.:$ 1 Oy
Applica~ntx;,l: t Q y 7a Receipt No.: Oc)5
Phone: Jd3sa ~ . ~ Appliciaticn Approved By: 0 • 0uL.,
Address: l S SuJ
5- Date Approved: A
Business Phone:
City: Zip: 7aZ Comp Plan)Zone Des'7 ation:
r/iC~S Ned D~'~ t2eR- 7
Business Name: P S
Business Type Code: 1
Nature of Business: L Business Tax Paid? C] Yes ❑ No
Business Tax. Receipt No.
--d~-~-~-- Rev. 113/06 i:lcurplnimssnerslrevisedthopl.Clot
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. REQUIRED SUBMITTAL ELEMENTS
THE APPLICANT SHALL CERTIFY THAT. ✓ Application Elements Submitted:
V The above request does not violate an deed restrictions that
may to attached to or imposed upon the subiect property. ~ Application Form
If the appl?cation is granted, the applicant will exercise the rights ❑ Owner's SignatureNVritten Authorization
granted in accordance with the terms and subject to all the
conditions and limitations of the approval. ❑ Proof of Business Tax Certificate
All of the above statements and the statements in the plot plan, Filing Fee: $37.00
attachments, and exhibits transmitted herewith, are true: and the
applicants so acknowledge that any permit 43ued, based on this
application, may be revoked it 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
CITY OF TIGARD 2/24/2005
13125 SW Hall Blvd. 12:02:24PM
Tigard, Oregon 97223
(503) 639-4171
Receipt 27200500000000000793
Date: 02/24/2005
Line Items:
Case No Tran Code Desc0ption Revenue Account No Amount Paid
HOP2005-00013 [LANDUS] Type I Permit Fee 100-0000-438000 32.00
HOP2005-00013 [LRPF] LR Planning Surcharge 100-0000-438050 5.00
Line Item Total: $37.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check DIANE E BOHAN CAC 1016 In Person 37.00
Payment Total: $37.00