HOP 20-80 11195 SW 119TH r"Ohl' S LC`CT" t KEY SVC . HOP
Ira Thomas Crap pan 20-80
11195 SW 119tH ��
APPLICATION FOR BUSINESS LTCENSE
CITY OF TIGARD
12420 S.W. Main Street
P.U. Box 23397
Tigard, Oregon 97223
DATE:
RECEIt"T#:
LICENSE#;
AMOUNT:
BUSINESS NAtdE: r0 S Loc u-�-d
BUSINESS TELEPHONE NUMBER:
BUSINESS ADDRESS: G//9 S S // �r�,Dt Q C,>7,Z 3
TYP.,: OF' BUSINESS: z-CSC
ADDTTIONAL INFO. : # of employees, # of company vehicles, # of customer visits per c'.ay, operation
hours, sq, ft. bldg. :
MAILING ADDRESS (IF DIFFERENT THAN ABOVE) :
TAX MAP#: p 1 S j J;� TAX LOT 4:
N"SNE ry TITLE OF APPLICANT. /�JiY T.YGI=-;{✓S L"f�/,Vii` ,c'.ti' �- cy,. .L r
SIGNATURE: ---•cam �-�.. �!. ,_w�
TELEPHONE NU:IBER OF APPLICANT:
.4i ME(S) OF OWNS: '..i)
IF CONTRACTOR, STATE NUMBER:
NOTF: SOLICITATION OR SALES "DOOR TO DOOR" ARE PROHIBITED WITHIN 10HE C011"IMUNITY. BUSINESS
LICENSES WILL NOT BE ISSUED FOR SUCH ACTION.
ACTION TAKEN: APPROVED BY DATE: —
DENIED BY
REASON:
CONDITIONS:
FILE R
HOKE OCCUPATION PERMIT APPLICATICK
ORDINANCE r 70-- 7Z
PASS -2/-;V
APPLICAiN'r
BUSINESS NiLME i'CP 1-1 s �e- Y -rF' v/c c
H(Y,1E/BUSINESS ADDRESS
H(Y-1E TET ITHONE NUMBER ( .? `' `' _s BUSINESS TELEPHONE W,IBER
TAY VAP -0 TAX LOT -
ZONE DES I C NATI Oti /;' _- -- — -----
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This application shall be submitted to the Planning Director for review. Certain
conditions may be added to the approval of this permit.
Prior to commencement of business, you will obtain a Business License.
LICLNSE 1W.1BER
S I( TTJREJ �-
�1A DATE
10/22/79cmc