HOP2014-00029 CITY OF TIGARD HOME OCCUPATION PERMIT
''7 3 • COMMUNITY DEVELOPMENT Permit#: HOP2014-00029
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/05/2014
Parcel: 2S102CC00318
Jurisdiction:
Applicant Name: Caputo
Business Address: 13410 SW CRESMER DR
Nature of Business: Type I home occupation for landscape contractor.
Business Name: Columbia Landscape, Inc. Generate Extrn Noise: No
Sq Ft-Detached: Days/Hours of Operation:
Sq Ft-Residence: Bus.Vehicles Garaged @ Res: 1
Sq Ft-Business: Outside Storage: None
SIC Code: Exterior Sign?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: No
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 Signature
im City of Tigard
TIGARD Home Occupation — Type I Application
GENERAL INFORMATION
Property Address/Location: 13r ,11,o SV\I Crzs nerr give. i Tgarc 2z3
lX lX
Tax Map&Tax Lot#: 'LI '5 IS Zone:
Property Oner/Deed H olde r(s)*: 1 &\J 10 V\1 t C apk v
Address: ()AID ■L Crt Yt Y Phone: (. 45 -7 q^[O 12,
City/State: L 01n_ a O
Applicant*: 1C kV Capu+r)
Address: 113410 SV4 CliZYVVIII 11)f-1‘).1 PhonL ) q10
Q
City/State: liciarci O . n Zip: en 1,EE-mail:
Business Name: CA Ilk NA b iw LAYQ S ca. /
Nature of Business: LcoAd S p It
Business Phone: (a)10-;) Q_ 1
*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
FOR STAFF USE ONLY REQUIRED SUBMITTAL ELEMENTS
Case/Permit No.: it0 a 014- 00 C',g/`�
Filing Fee Rec'd: $ 1,9 110 . b 0
Receipt No. l' `P 33-7 ❑ Application Form
Application Approved By: G4'--
Date Approved: o - 5 ❑ Owner's Signature/Written Authorization
Comp Plan/Zone Designation: 1 ❑ Proof of Business License Certificate
Le t,J l7e n 2 tt on - 14 . S ❑ Filing Fee
Business License Paid Yes No ❑
Business License Receipt No.
Revised: 6/24/2013
I:\CURPLN\Masters\land Use Applications\1 tome Occupation-Type t.doc
City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 1 of 2
CITY OF TIGARD RECEIPT
i
� 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 196337 - 06/05/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2014-00029 Home Occupation Permit-Type I 100-0000-43116 $96.00
HOP2014-00029 Home Occupation Permit-Type I-LRP 100-0000-43117 $14.00
HOP2014-00029 Business License 100-0000-43001 $84.00
Total: $194.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 0506 CCAINES 06/05/2014 $194.00
Payor: Columbia Landscape, Inc.
Total Payments: $194.00
Balance Due: $0.00
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