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DORIS ' HOUSE HOP 13-80
SMITT.' . DORIS 11480 SW 92nd
Ave.
1i
FILE
HOME OCCUPATION PERMIT APPLICATIO11'
(Reference Ordinance ,
Passed
APPLICANT
ADDRESS _ �f S Lv
I 411rE'el L1re X72--2-
TELEPHONE NUMBER �• I - 3 �/�`c'
TAX SLAP # /5/ - 3
TAX LOT 0 ZONE DESIGNATION
BUSINESS NASfE 7�
ADDRESS / / .frZ
BUSINESS TELEPHONE NUMBER _ �. 3 j - 3 91
NATURE OF THIS REQUEST, BE SPECIFIC. JJ
5 L 4Ce 714, / Cu
1
This application shall 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
APPT-;,CATION FOR BUSINESS LICENSE
CITY OF TIGAR'D
• 12420 S.W. Main Street
P.O. Box 23397
Tigard, Oregon 97223
DATE: -��- 9O
RECEIPT4:
LICENSEI:
16'0� _
e .�
AMOUNT:
BUSINESS NAME: C r : y C Li 5
BUSINESS TELEPHONE NUMBER: 2 - 3 92-
BUSINESS
2-
BUSINESS ADDRESS: lti' I
TYPE OF BUSINESS: /?c'c ICS - `_�?.1 c:,i�r �i k�Z L
ADDITIONAL INFO. : # of employees, # of company vehicles, # of customer visits per day, operat:,on
hours, iq. ft. bldg. :
j OJ( I f
��
C.
lCivtif ".:� .t lI lh C ^`i E�r `a — I'• � !,1 C'�'1 /oc_
MAILING ADDRESS (IF DIFFERENT THAN ABOVE) :
TA< MAP 1: TAX LOT
NAME & TITLE OF APPLICANT:
SIGNATURE: /1�.+�s.� ' 2� L L✓
V
TELEPHONE NUMBER OF APPLICANT: 3
,NAb1E(S) OF OWNER(S) : _ ��•�y J ��., , � t
IF CONTRACTOR, STATE NUMBER:
NOTE: SOLICITATION OR SALZS "DOOR TO DOOR" ARE PROHIBITED WITHIN THF COM2-1UNITY_ BUSINESS
LICENSES WILL NOT BE ISSUED FOR SUCH ACTICN.
ACTION TAT.EN: APPROVED BY: C- -- - --- ---- DAT ` off✓
DENIED BY DATE:
REASON:
CONDITIONS: