HOP 23-80 12815 SW GRANT -711
TYPE MASTER HOP 3-•80
12815 S4 Grant
FILE T n P-- 2
HOME OCCUPATION PERMIT APPLICATION
(Reference Ordinance
Passed )
APPLICANT C\J<,E,kJC
ADDRESS
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TELEPHONE NUMBER `+ `�{o
TAX MAP %A—
TAX LOT r U ZONE DESIGNATION
BUSINESS NANTE MA-,v-Xr
ADDRESS
BUSINESS TELEPHONE NUMBER
NATURE Of' THIS REQUEST, BE SPECIFIC.
v S ry S Gg- ",PrL.\.- 11-i
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 ,
LICEME NUMLER
1�1`60TURE V ATE
APPLICATION FOR BUSINESS LICENSE
CITY OF TIGARD
12420 S.W. Main Street
P.O. Box 23397
Tigard, Oregon 97223
DATE: ��L�
RECEIPTr `3�
LICENSE#:
AMOUNT: 2�,
BUSINESS NA:,LE: ��E IVIAS'fEZ
BUSINESS TELEPHONE NUMBER: G X Q GP
BUSINESS ADDRESS:
TYPE OF BUSI14ESS: T►� �r��-�tt SFV.Vv
ADDITIONAL INFO. : # of employees, # oC c mpa�ny vehicles, p
� # of customer visits per day, operation
hours, sq. ft. b\1-1q. . _N)A,.j —i_ NoyvS^t� E.2 V� S r S leov L F e,
MAILING ADDRESS (IF DIFFERENT THA14 ABOVE) :
TAX MAP#: TAX LOT ?#
NAME & TITLE OF APPLICANT: c—\4 F <' -vR tL, Ac A Sp—. C�,OrJ C7(-
SIGNATURE- :
TELEPHONE NUMBER OF APPLICANT: 3 C _
NAME(S) OF OWNER(S) : y(,ENE SyE '�Vct rc� A4,A
IF CONTRACTOR, STATE NUMBER.
NOTE: SOLICITATION OR SALES "DOOR. TO DOOR" ARE PROHIBITED WITHIN THE COMMUNITY. BUSINESS
LICENSES WILL NOT BE ISSUED FOR SUCH ACTION.
ACTION TAKEN: APPROVED BY: Qom- DATE: I� —
DENIED BY ; _ 'DATE:
REASON
CONDITIONS: