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HOP2007-00014 Ir . n CITY OF T I GA R D HOME OCCUPATION PERMIT TYPE: I COMMUNITY DEVELOPMENT PERMIT HOP2007-00014 ° 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2007 APPLICANT NAME: LAURI FISH BUSINESS ADDRESS: 12761 SW 133RD AVE PARCEL: 2S104AC-04500 ZONING: R-25 JURISDICTION: TIG NATURE OF BUSINESS: Type I application for real estate investment business BUSINESS NAME: LMF ENTERPRISES, INC. SQ FT - DETACHED: GENERATE EXTRN NOISE: SQ FT - RESIDENCE: DAYS/HOURS OF OPS SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: 1 SIC CODE: OUTSIDE STORAGE: NO PAID NON RES EMPL: N EXTERIOR SIGN?: N CUST/CLIENT @ RES: 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). Approved By Permittee Si ture 01/31/2007 14:00 FAX 8038981960. CITY OF TIGARD Q002 HOME • ORATION " . TYPE. I . APPLICATION ; 4.. " C, tj!9f Perptt Cwr 13125 SWHdlBkd, 7 OR 97223 P 503.6394171 Fiat: 503 5991960 Proper~pAddrese/Loatdoa: ~ Z~~ D ~ CiVJ ~.~~J,"~[U~. ~rp~S,I,AFP [35~ ~Y Tu Mv & Tax I'm ~SID~fAC-d~tS~ zom k-a-s Peopewl Ow a/Deed Ho~}de~e(s}":. Oue/PetuA Na: Po~C~?. ° ill Address, ) 21 0I ~!I V AJ Phaane~ (D~ t+g' Pee Rec'd:f a* Tt c ~ rip: a3 R ptr>o.: r Dr. Appliatd= Approved Date Approved j2ZE-107, - Photte: Bmsiam pho. ~ Camp PWZone Da4mim 4.. . &ttioeas r>a L E .i'1-ka'5,6"10L, BWWW T&Paidt ' • ❑ Yes 0 No Mm of Business: T Business Tit Reuipt No. t applies art diffetnnt t!~ apps t Wien the owner and the be ate of record or a lessee is poases.inn ~tea at>tboriaasion frt>m or an agent of tike ow= 'rile owner(s), miffit nip this ggdkaoon in the spire provided on the back of this form or aebzr& a written m khoris a6on wilt} tltit app ' RR~~7ritFil Qi MT7"i' T. Ri-FMENCS TkM APPLICANT MALL aafftff THATt ✓ t' 'OP =unit ~ in deed mcW dedant9 that maq ✓ Appbmd- Elemetrts Submitted: thp . attaelbed to orimesfsed t ectotaaeev If the applirntioa is iii the a wtM aaxim the *a ;mmd in ❑ . APPficxtiOnFoll" aah d a term: and ettbiecs t4 all *e cond'mnns and 1tn>andOns of © Owanr's s ranue/Wdtten A~uhosi the vpffml ✓ All of the above stam=en aid the sraaemettm in the D Proof of Bttsiiesa Tax c nficate affii the so Piling Peet $39.00 and e:l> S taammimd bemwith, m uu~ arlawtrle~e tier awperatipt issued, bLwd on this appl =da% mrry rev~d if it is found that aiy8uchstsuoen= ate &IV- ✓ ap has trod the soars coaoense of the applieadow ittektdittg ate policies aid uieria, and uds the far approvi* or 1 to Jr w gel IMO IrR r ~e ?w frfrr E.re F.a ~~o t g ~~y ~ r B ef~'f~r~t r r~&Fj IS~~ 1i8~~~f 1 ~ 1~ iE~ e `-11:-A CITY OF TIGARD 2/8/2007 '`mss 'r V 13125 SW Hall Blvd. 10:56:15AM Tigard, OR 97223 503.639.4171 Receipt 27200700000000000547 Date: 02/08/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid HOP2007-00014 [LANDUS] Type I Permit Fee 100-0000-438000 34.00 HOP2007-00014 [LRPF] LR Planning Surcharge 100-0000-438050 5.00 Line Item Total: $39.00 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid Check LMF ENTERPRISES INC ST 3146 In Person 39.00 Payment Total: $39.00 cReceipt.rpt Page I of I