HOP 12-80 11145 SW COTTONWOOD LANE JAN'S HOUSEKEEPING HOP12-$0
11145 SW Cottonwood Lane
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FILE #
HOME OCCUPATION P" L,AIT APPLICATION
(Reference Qrd i n...nce
Passed )
APPLICANT
ADDRESS /���5_ SG�J, Go,2- ��y�y���t�
TELEPHONE NUMBER
TAX MAP
TAX LOT '_ �lp P?? ZONE DESIGNATION
BUSINESS NAME t�A,ys117�sE.c�EEi'�iVl
ADDRESS _, _ �/• �� atiLvDtcL��y
BUSINESS TELEPHONE NUMBER
NATURE OF THIS REQUEST. BE SPECIFIC.
This application shs.11 be submitted to the Planning Director for
review . Certain conditions may be added to the approval of this
permit . You are hereby notified .
Prior to commencement of business , you will obtain a Business License.
LICENSE NUMBER
1 MN A1'U P E _ ----- -�;�-� -
APPLICATION FOR BUSINESS LICENSE
CITY OF TIGARD
• 12420 S.W. Main Street
P.O. Box 23397
Tigard, Oregon 97223
DATE:
RECEIPT#:
LICENSE::
AMOUNT: � d?
BUSINESS NAME:
BUSINESS TELEPHONE NUMBER:
BUSINESS ADDRESS: / %z` 4«/
TYPE OF BUSINESS:
ADDITIONAL INFO. : N of employees, 11 of company vehicles, $ ofustomer visits pec d/ay, operati..:,t
hours, Fq. ft. bldg.. __ ��� �"�� /'�3r;cy �iA2
AZ
MAILING ADDRESS (IF DIFFERENT THAN ABOVE) :
A3( MAF'4: 1�(_ _ TAX LOT 4: l�lo
NAME & TITLE OF APPLICANT: �✓�,�/�7� TSE/�/�T- %��,v�,t'
SIGNATURE: On
CTZPHONE NUMBER OF APPLICANT:
:IAME(S) OF OWNER(S) : �,�.✓E7— S_ �1,1`'�'�G�—
L= CONTRACTOR, STA'L'E NUMBER:
40 E: SOLICITATIO'Lli OR SALES "DOOR TO DOOR" ARE PROHIBITED WITHIN THE COMMUNITY. BUSINESS
LICENSES WILL NOT BE ISSUED FOR SUCH ACTION.
1=01 TAKEN: APPROVED BY:e�3 �✓ DAT
DENIED BY DATE:
REASON:
CC),,t,tTI��NS:
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