HOP2009-00036
CITY OF TIGARD HOME OCCUPATION PERMIT
COMMUNITY DEVELOPMENT Permit HOP2009-00036
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date issued: 05/20/2009
Parcel: 2S 115AA06600
Jurisdiction: Tigard
Applicant Name:
Business Address: 16430 SW 109TH PL
Nature of Business: Type I application for cleaning services
Business Name: In the pink Cleaning Services LLC Generate Extrn Noise: No
Sq Ft - Detached: Days/Hours of Operation:
Sq Ft - Residence: Bus. Vehicles Garaged @ Res: One
Sq Ft - Business: Outside Storage: No
SIC Code: Exterior Sign?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: Yes
Acknowledgement:
I understand this Home Occupation Permit is approved for the above described business at the specified location only, and
does not require renewal. Further, I understand that the City of Tigard Business Tax must be renewed annually in order to
maintain permit authorization.
I acknowledge that this Home Occupation Permit approval may be revoked if the conditions and standards of approval have
not been complied with and/or this home occupation is otherwise being conducted in a manner contrary to the Tigard
Community Development Code (18.742). Permit revocation due to a violation of requirement(s) of this Home Occupation
Permit cannot be renewed for a minimum period of one year. (18.742.010).
Approved By Permittee Signature
01/01/2002 00:01 5036207085 JANINE SCHLCHTER PAGE 02
-AA
HOME OCCUPATION
a
TYPE I APPLICATION
City of Tigard Permit Center 13125 SW Hall BAd, Tigarg OR 97223
Phone. 503.639.4171 .Fax. 503.598.1960
(;RNRRAL FORMATION
Property Address/I.Ax ation: G dLB 0 :5 U3 G 94*,*- p
FOR MAFF USE ONLY
Tax 'Nlap & Tax I.ot zone:
Property OvvneriI3eed Nvldes(s)*: Case/Permit No,:
Address: 16 11 6 451.,E l - Phone: s43 -LL # 7685- Filing Pee Reed.:j
q-LZLLL city: L 1 A fYY C} Receipt No_: 7 c 'D ~i - 3 a 6
Zip. Application .A ved B
PC~
Applicant*: 4 t<►,~,~~
Dane Approved.
SCl c PPro~~~~ Phone:
.Address: I sQ -70 5
Business Fhoue: 5 (-120 - 691 ` Comp Plan/Zone Designation:
City: l ~ f Zip:-
Business Name: Z h AiA i _ P (n C IL 01t)-i. S CU t c e,
Business Tax Paid? Yes No
Nature of Business: C Pl~a'1 I Y1 Cd . SE' C V 1 ` Business Tax Receipt No. (ice
Rev. 7/]/07
is cwTA,aVtkotx aMind use applic~tjOnt\F~omt oecv[~mon pccrxit Type 1
app.doc
* When the owner and the applicant are diffett of people, the applicant must
be the purchaser of record or a lessee in possession with written authorization
from the owner or an agent of the owner. The owner(s) must sign this
application in the space provided on the back of this form or submit a written
authorization with this application.
THE APPLICANT SHALL CERITFY THAT: REQUIRED SURMITrAI_ RI.AMRNTS
✓ 't'he above =gtwst doer not violate mu deed reetrictiona that may be
Application Elements Submitted:
a ft&Gbcd to a iumodup m the sudca
✓ If the application is meted, the applicant will c3Q vise the turns granted in ❑ Application Four
accotdance with the tn-m sad subject to all the conditions and limitations of
the approval ❑ Owner's Signature/Written Authorization
✓ All of the above statements and the statements in the plot plan, attachments, ❑ Proof of Business Tarr Certificate
and =clubits transmitted berewith, are true, and the applicants so acknowledge ❑ Filing Fee: 140.00
that any permit issued, based on this application, way be revoked if it is found
that any such statements are false.
✓ The applicant has read the entire contents of the application, including the
pohaes and cutena, and understands the requirements for appnomg or
denying the application.
1
CITY OF TIGARD RECEIPT
- 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
Receipt Number: 173606 - 05/20/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2009-00036 Home Occupation Permit - Type 1 100-0000-438000 $35.00
HOP2009-00036 Home Occupation Permit - Type 1 - LRP 100-0000-438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 061025 KPEERMAN 05/20/2009 $40.00
Payor: Janine Schlachter
Total Payments: $40.00
Balance Due: $0.00
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