HOP1994-00073 I •
City of Tigard, Oregon
_.,,L 2 1
FOR STAFF USE ONLY
HOME OCCUPATION APPLICATION CASE NO. k D 'e y -
CITY OF TIGARD, 13125 SW Hall, OTHER CASE NO'S:
Tigard, Oregon 97223 - (503) 639 -4171 RECEIPT NO. q 39.1
APPLICATION ACCEPTED BY:
E( `�"��
DATE: ' - efC C(Ue
1. GENERAL INFORMATION Application elements submitted:
PROPERTY ADDRESS/LOCATION (A) Application form (1)
/ d . Cl/1/ALCM CT., 7 /&-AAD (B) Owner's signature/written
TAX MAP AND TAX LOT NO. 2 slog g R 04800 authorization
R ZU .L io y (C) Title transfer instrument (1)
SITE SIZE 7 6J9 sect-e. fed - . 14 �� JR (D) Plot plan (1 copy)
PROPERTY OWNER/DEED HOLDER* vcC 1 (E) Applicant's statement (1 copy)
ADDRESS / WO . TP / /ur Ter. PH NE (-C ) E ✓ (F) Filing Fee $10 - Type I
CITY IRCacttei ^wpi / Olt ZIP 77CO7 Filing Fee $50 - Type 11
fikPLICANT*CHEXV.L, 7o%/lJLANZ ,Z.A /rNS
ADDRESS / 4.60. CNEH cMHONE , s'92 -o 3
CITYT / G ?. 2 , O ZIP 9 7aa3 DATE DETERMINED TO BE COMPLETE:
BUSINESS NAMEaDNI /Die. fl/E L/4 /Z5
*When the owner and the applicant are different people, the
applicant must be the purchaser of record or a lessee in FINAL DECISION DEADLINE:
possession with written authorization_ from the owner or an
agent of the owner with written authorization. The owner(s)
must sign this application in the space provided on page two COMP. PLAN/ZONE DESIGNATION:
or submit a written authorization with this application. Pb
2. PROPOSAL SUMMARY
The owners of record of the subject property N.P.O. Number:
request approval of a home occupation to
allow (be specific) to 'a:sr°M - A - 40 Ali L
,p E.5 G ✓. Planning Director Approval Date:
Business Tax:
3. Specify whether you are using a detached building on
your property and give dimensions:
N o
•
3. List any variance or other land use actions to be considered as part of this application: •
4. Applicants: To have a complete application you will need to submit attachments
described below:
A. One application form with signature or written authorization
B. One copy of the title transfer instrument (eg. deed)
C. One copy each of the attached question sheet and floor plan
D. • Filing fee: Type I - $10 Type II - $50
5. THE APPLICANT(S) SHALL CERTIFY THAT:
A. The above request does not violate any deed restrictions that may be attached
to or imposed upon the subject property.
B. If the application is granted, the applicant will exercise the rights granted in
accordance with the terms and subject to all the conditions and limitations of
the approval.
C. All of the above statements and the statements in the plot plan, attachments,
and exhibits transmitted herewith, are true; and the applicants so acknowledge
that any permit issued, based on this application, may be revoked if it is found
that any such statements are false.
D. The applicant has read the entire contents of the application, including the •
policies and criteria, and understands the requirements for approving or denying
the application.
DATED this g day of actgl{S , 19 / p
SIGNATURES of each owner (eg. husband and wife) of the subject property.
,4r1 gate
L-W6'.Zoci
Revised 11/21/91
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TO APPLY FOR A HOME OCCUPATION PERMIT, PLEASE ANSWER THE FOLLOWING
• QUESTIONS:
1. Will you have any paid employees working in the home in conjunction with the
business who are not residents of the home?
WO . •
2. Will you have customers/clients coming to your residence? If so, how many per day? 4
3. Will you have deliveries or pickups made of products or supplies to your residence? If
so, how many and what type?
N� .
4. What will your hours and days of operation be?
5. Will the business generate any noise which can be heard outside of the structure?
No.
6. How many square feet is your residence and how many square feet will be devoted to
• the operation of your business, including storage areas?
/J /a, J'eS,cei[ev
-- G /erJ&fed fo ope: -4.7 o/z of ,6e s /i ess -- /✓o .S born e -
7. What vehicles will be associated with the business that are garaged at the residence?
oit/LV ,wiL OF #iCIeS.
8. Do you intend to store any materials, vehicles or products outdoors at the premises in
conjunction with the business?
No .
9. Will you have any signs or advertising visible from the exterior of the premises?
/V°
10. Please show the floor layout of your house and the area to be used for your home
occupation on the attached graph paper. Please designate those areas which shall be
utilized 1) entirely for the home occupation and 2) partially for the home occupation.
Please designate the approximate dimensions of the rooms(s) to be used for the home
occupation.
•
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•
PROPERTY OWNER/OPERATOR APPROVAL FORM
* *HOME OCCUPATION PERMIT **
� / �i /qer �tra /1
I, (x rl N / • b,A va, ( 1 nvd Cu r° , being the true legal owner of the
(Please Print)
property located at /4Oaa . W e HE,-7 ?G2/►I - C7'. Tigard, Oregon give my
III
approval for the current tenant,a-/EeV2.. %/ofS44N1 4/9 /NE residing at the
(Applicant)
above referenced property, my permission to operate a business at this location in accordance
with the City of Tigard's home occupation permit ordinance.
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(503) 6 yl - ? ` S/8 9 y
Owner /Authorized Representative's Phone Number D Signed
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COUNTY OF AS I NGTON STATE Q OREGON i.
LEGAL DESCRIPTION: LOT 19 BLK.
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SUBDIVISION: CASTLE HILL a � C1 $ : 1 C.
• CLIENT: ARBE HOMES
LN. /JOB No. :__ ATTN.: MLADEN ENGINEER o i
..___i DATE: 8/10/93 SCALE: 1" ii 20.0' SURVEYORS
■
I HEREBY DECLARE THE STRUCTURAL IMPROVEMENTS TO THE ABOVE DESCRIBED PROPERTY TO BE SITUATE THEREON AS SHOWN THERE
ARE NO APPARENT ENCROACHMENTS BY OR AGAINS THE PROPERTY IN OUEST!ON. EXCEPT AS SHOWN THIS LOCATION IS BASED UPON
MONUMENTS FOUND. NO WARRANTY !S MADE AS TO THE CORRECTNESS OF SAID MONUMENTS AND NO LIABILITY 1S ASSUMED IF SAID
MONUMENTS ARE IN ERROR. THIS DECLARATION IS MADE AT THE REOUESTAND FOR THE EXCLUSIVE USE OF THE TRANSACTION AND
CLIENT NAMED ABOVE AND IS NOT TO BE USED FOR CONSTRUCTION PURPOSES. FUTURE TRANSACTIONS, LAND DIVISIONS OR
BOUNDAAYLOCaT}ON. - - ��
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SURVEYOR
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14022 S.W. CHEHALEM COURT
1 , TIGARD
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LOT 19
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