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THE BUSY B' S FLORAI HOP
11735 SW Lynn 15-80
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FILE #
11WE OCCUPATION PMIT APPLICATION
ORDINANCE # 79-s;�z
PASSED
+
APPLICANT L--Gy
BUSINESS NAINE _ ~��, 115 5 'RwaL
HOME/BUSINESS ADDRESS
HomE TELEPHONE NUMER �' �7'S I I a- BUSINESS TELEPEONE NUh®ER Y'(iltQ_
TAX N1AP # a-S 5 5 A TAX LOT # 0 O 13 1
ZONE DESIGNATION �' I
NATURE OF THIS REQUEST . . . BE S P E C I F I C . . . . . . . . . . . . . . . . . . .. . ..
wou�� l I K� -ty lis-, o� S�i-a�- G�.
CA\.
w� vyt c'�b S' of S Iu�o S
This application shall be submitted to the Planning Director for review. Certain
conditions may be added to the approval of this permit.
Prior to commencement of business, you will obtain Busin ss License.
LICENSE NUC,®F::
SIGNATURE '4.'Vl ( 'Law a",u DATE
10/22/79vmc
APPLIC:4T10N FOR BUSINESS LTCENSF
CITY OF TIGARD
12420 S.W. Main Street
P.O. Box 23397
Tigard, Oregon 97223
DATE:
RECEIPT#: �
AMOUNT:
1
1 .+
BoslNEss N,%-4E: �1 � � rzr�
BUSINESS TELEPHONE NUMBER: --i IA` j 9 + ,_
BUSINESS ADDRESS:
TYPE OF BUSINESS:
AGDI'i'IONAL INFO. : t# of employes, # of company veilicic # Of customer visits p
hours, sq. ft. bldg.: T �- 1�� �� Per day, operation ration
MAILING i'.DDRESS (IF DIFFERENT THAN ABOVE) :
TAX MA2 7: 5—'� F- - TAX LOT #: C '
NA:,E & TITLE OF APPLICANT:
SIGNATURE:
TELEPHONE NUMBER OF APPLICANT:
NAME(S) OF OWNER(S)
IF CONTPACTOR, STATE NUMBER:
"DOTE: SOLICITATION OR SALES "DOOR TO DOOR11 A.nE PROHIBITED WITHIN THE COMMUNITY. BUSINESS
LICENSES WILL NOT BE ISSUED FOR SUCH ACTION.
ACTION TAKZN: APPPOVED BY: _ —
��__._� � DATE.
DF..NIED BY :
— DATE:
REASON: -