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BRAD STUBSTAD GRAPHICS HOP
8625 SW Inez 3-80
HOME OCCUPATION P);F , APPLICATION FILE
(Reference Ord..nonce ,
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APPLICANT S J✓�r, J 72 SrA
ADDRESS
TELEPHONE NUMBER_ 612
TAX MAP # Z S
TAX LOT # Q ZONE DESIGNATION
BUSINESS NAME_� cI STUJ�SJ7jh �ST(,�/�iSJ � E�1Pt°!f/CS
ADDRESS S c.L �•�•G=
0I2
BUSINESS TELEPHONE NUMBER 3g-7S`
NATURE OF THIS REQUEST. BE SPECIFIC. `�G�2C!'�.l /�Zi►�Ti'U�, ,L
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This application shall be submitted to the Planning Director for
review. Certain condition,i 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
I GNAFUWE �j
ArPLICA':'I0i; FOR DUSI.**,&'S r,TC*:ivr,l
Cf.TY OF TIGAPI)
12420 S.t•:. MaLn Strvct
P.O. B<)a 23317
Tiq,3 rd, Oregon 9727.1
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ANIOU N T: � 2% ,90 /4 2 Ye.,x
R_:,I:: :j:; .STV-1357-74,.�> Q?AN4Cl ✓VD
T:-:r EPHOidc,
J�SIi:ES,S ADD;ESS: (pC Z S-'-
AP,
TYPE 0-r' BUSINESS: �'/'!=f i f�/Zi/V►/N�
:aDDITI014AL INFO. :O of eizp,Aoyces,C# of company vehicles,Q# of Custo:Mer visits per day, op^_ration
hours, sq. ft. bldg. :
.AILING ADDRESS (qqIF DIFF CF'Ei4T THAN AS'VE) : 5t4,,o
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X MAPS. i- �� I J CT" __- TAX LOT 4: �--
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TITLE OF ABPLICV17:
SIGNATURE:
vh;; MR OF APPLICANT: _,(7
OF 01*.NEP.(S) :
"- CONTPACTOR, STATE NUi•13CR:
SOrTCITATION OP, SALES "UOO° TO DOOR" APE PROHIBITED V1jTFIIN T.AP COX6IUNITY. FfUiIt:=SS
LICi::�=S WILL NOT BE ISSUED FOR SUCH ACTION.
D::i:IFu BY — -- DATA:.
RL AS0(1:
CONUITIOIIS: �p ,(