HOP 10-80 10765 SW PONDEROSA PLACE GRAPHIC DESIGN/GAIL COOKE
107E3 SW Ponderosa P1. HOP 10-
80 -
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HOME OCCUPATION PERMIT AE',—ICATION
(Reference Ordinance _
Passed
APPLICANT &A 11.,..
ADDRESS _ IC71cS 5.L-4—)
TELEPHONE NUMBER_ 2 _ 57Z -7
TAX MAP
TAX LOT r ZONE DESIGNATION
BUSINESS NAME Yit- 0c)Ok-,C- 42A PN l C
ADDRESS JQ (C7 5 •S,wPDN
BUSINESS TELEPHONE NUMBER (+ZLL-
NATURE OF THIS REQUEST. BE SPECIFIC.
This appllca bion 0all be submitted to the Planning Director for
re•.iew . CertAi.n conditions may be added to the approval of this
permit . are hereby notified .
Prior to commencement of business , you will obtain a Business License .
LICENSE NUMBER _
I GN t-U--RL-- - -- -DATE J
'PLICATION FOR BUSI.d:SS L ICENSF
CITY OF TIG. RD ,
12420 S.W. Main Street
P.O. Box 23397
Tigard, Oregon 97223
DATE: -- •� �U
RECEIPTT":
LICENSE#: •� ,Q
AMOUNT: +
BUSINESS NAbLE: —GAIL-
BUSINESS
NIL. Z C7 kfl Pill C. DE 51 L N
BUSINESS TELEPHONE NUMBER: (c,2U - L�37 I
BUSINESS ADDRESS: I(-)-7(- S S. (-,L� . PO/U DEkG;y PL
TYPE OF BUSINESS: G�C'/a PH /G - ADVEP-7 / Si1V& - A4HT «-' (. PK
ADrITIONAL INFO. : # of employees, # of company vehicles, # of customer visits per day, aleration
hours, sq. ft. bldg.: / Eby—�0)r-,c-i 6� E_ �i L Cyrj L .)Ci_i'1 Z 1)6-h i C1P /
_CCuS LLL-= uis1+ nerdar z y ho-yS '3 -
MAILING ADDRESS (IF DIFFERENT THAN ABOVE) : e-
T'.V MAP#: TAX LOT #;
NAME & TITLE OF APPLICANT: G AI( , CL1C��' t�} _
SIGNATURE: { J CY�zL�
TELEPHONE NUMBER OF APPLICANT: L=C 7 7
, ME(S) OF OWNERS)
IF .-ONTRACTOR, 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 3 DATE:1��5
DENIED BY DATE:
REASON:
CONDITIONS ---