HOP 2-79 11225 SW FAIRHAVEN 400 N] RTL�.,;H, HY
-79,
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CITYOF WARD
November 16, 1984 WASHINGTON COUNTY,OREGON
Hy Mertlich
11225 SW Fairhaven
Tigard, Oregon 97223
Dear Mr. Mertlich:
The City has received your business tax application for Hy's Distributing
.located in your home at 11225 SW Fairhaven. According to our records, a home
occupation permit was issued for this business on October 19, 1979.. In
November of 1983 the City Council adopted a New Community development Code
which contains new requirements for home occupations. I have attached a copy
of that section of the code for your informatics. Please note the conditions
of approval as well as the requirement that home occupations must now be
renewed on an annual basis. The City will be contacting all holders of home
occupation permits in either December or January with the requirements for
renewal and fee information.
Sincerely,
)""A410
Elizabeth A. Newton
Associate Planner
(EAN:cz/0786P)
`--- -- 12755 S W ASH P O BOX 23397 TIGARD, OREGON 97223 PH639.4171
I j
CITY OF TIC4 RD No. 07 r 1
12755 S.W. ASH
TIGARD,OR 97223 DateIc
Name.
11 2 S L J-LLQ r
Address
Lot � Block/Map SubdivisionlAddress
Permit #'s Bldg- Plumb Cash Check
Sewer Other Other Rec. By
Acct. No. Description Amount
j 10-432 Building Permit Fees
10-431-600 Plumbing Permit Fees
10-431.601 Mechanical Permit Fees
10-230-501 State Bldg. Tax
10.413 Plans Check Fee
10.435 Other Licenses & Permits
30.443 Sewer Connection
30-444 Sewer Inspection
24.448 Street Syst. Dev. Charge
25.449.610 Parks I Syst. Dev. Charge
25.449.620 Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge
10.430 business Tax
10.434 Alarm Permit
10.227 Bali
10.455- ._ Fines -Traffic!MisdlParking
10.230- _ CPTA TrafficlMlndlVic. Asst. _
10.456 Indigent Defense _
30.446-401 Sewer Service/USA -
30-446-402 Sewer Service/City
31.447 Storm Drainage
40.475 Bancroft Prin. P mt.
40.471 Bancroft Int. P mt.
10-451 Other Charges for Services -
------- - --- - ----• - TOTAL
i DEPT.
i °'
K Rll 77 PLEA( (,OMPI ETE TH15 FORM AND RETURN 1'"H YOUR CHEICK
Tax Cert Il
Date le)
Amount $—
BUSINESS TAX INFORMATION SHEET cnyOFTWARD
— _�BU IN S
NAME
BUSINESS ADDRESS OWNER OR PRIMARY CONTACT
CI , TE, ZIP ^ MAILING ADDRESS
TA tlp 39_�2 Ste- ��'AlF
BUSINESS PHONE NUMBER CITY, STATE, ZIP
NO. OF FULL-TIME EQUIVALENT EMPLOYEES*** PRIMARY CONTACT PHONE NUMBER
***Full-time equivalent employee to be defined as the total number of hours
worked by all employees working within the City of Tigard divided by 2,080
hours equals the number of full-time equivalent employees working within the
City of Tigard.
DESCR PTION OF TYPE OF BUSINESS:
NOTE: Solicitation Or Sale "Door-To-Door" In Residential Areas Are Prohibited
Within The City Limits of Tigard.
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NOTE: A Business Tax Receipt Does Not Imply City Approval Or Endorsement To
Operate The Business Or The Location Of The Business. Questions On Permits
And Land Use Regulations Can Be Roferred To The Appropriate Department At City
Hall.
It Tax Exempt, Please Submit Documentation.
I ce t fy the in ration on this information sheet is true and correct .
�V 1; 'r rl/(4 c1 �
Sha u of Authorized Representative Date
PrintName- and Title
Tax Exempt Status Approval
JLW(0119F)
ti
FILE #
HOME OCCUPATION PERMIT APPLICATION
(Reference Ordinance ,
Passed y )
APPLICANT
ADDRESS
jfig y -
TELEPHONE NUMBER_
TAX MAP # as/-3- D _
TAX LOT # Oct kr 9 ZONE DESIGNATION_ —_
571�i7r,/a /fc.Pt5 2
BUSINESS NAME / '01g
ADDRESS
BUSINESS TELEPHONE NUMBER L 9-S� S-2
NATURE OF THIS REQUEST. BE SPECIFIC.
.�� /�Ofo'
This application shall be submitted o he Planning Director for
review. Certain conditions may be added to the approval of this
permit . You are hereby notified .
Prior to commencement'' or business , you will obtain a Business License .
LICENSE NUMBER (O _
3I GFATURE__ DATE _