HOP 7-80 11216 SW 81ST EDUCATIONAi. CONSULTANT
SVCS HOP T-80
RAX COFFEEN >,
1.1216 SW 31st
FILE
HOME OCCUPATION t .IIT .APPLICATION'
(Reference I,", -inance
Passed )
APPLICANT /C�_y �l��eC," --
ADDRESS ^�/?%4� S /1! ��S/
TELEPLONE NUMBER 4/' .20
TAX MAP #
TAX LOT ; -Z/ - lk4, ��e�9/F s 1'lgce ZONE DESIGNATION
BUSINESS NAKE Fu
ADDRESSL�
BUSINESS TELEPHONE NUN113ER 0
NATURE OF THIS REQUEST. BE SPECIFIC. LL,�f ✓f�A�n/iii rt p,4'/ce
pc��' 'crs�-� e{C,Y,2�1C�s7._ 1� '�Q LZZ cry
er a e SC
This application shall be submitted to the Planning Director for
reviev- - Certain conditions may be added to the approval of this
P""Ir; t . You are hereby notified .
Pr-Lor to commencement of business , you will obtain a Bustne,s License .
LICENSE NUMBER �'3
�t G,-A1'GRE__��
�'------~ A-°?LICA-roI ,, FOR BUStMEESS LICENus
CITY OF TIGARD
12420 S. Main Street
P.O. Box 23397
Tigard, Oregon 97223
RECEIPT_:
LICENSEI: / 3
AbIOUNT:
_fir.:�9S i!'L:... ��� �f/onci� C.O�'7�'Gl�/sty►f .SCI'Y! ��s
NURBER: _ i� �7 - S� �� ---_--
/s•f
'!':'? . OF IDUJLi3GJj. /1 �•!la'C/'M� ( J'
11/4 L •_.•'•••
!( M.� PSyC'�►Q�Oq/G.c ��/4Ik��/OH ONS t• ,/OIr
---�. 1 � Co ua s•r/a9.
employees, # of company vehicles, # of rustamer visits per day, operation
hours, sa. £t. bldg.. -j/o Cmg1eVCCS ` oN+niyr l�C�iic� /�o �p�7el
__ to A:C�:cs (r? DIFFSR.CNT THAN ABOVE) : S'6!/•�C
C A o '7 .3 0 0 TAX LOT #• 2� - fir',-�6� P y/es�/O�G cc
TITLE Cc' APPLICANT: /cif y �'a f�'C[ti Ijro� C/lo�it is'f
?HO 'E 6 -MER OF APPLICANT: zC _ fl'Z t'
= 'Z) OF MMEP(S) : �d�✓ �pf�CCN
g7LTrr_,,T_Or.r OP SA ZS "DOOR TO DOOR" AP.B PP.OHIBITED WITHrV TI•G' COi•MUNITY. SUSI:lESS
LIC.^NSES JILL NOT BE ISSUZO FOR SUCH ACTIOiI.
MUED BY DATE.
CO40MOtiS: