HOP 27-80 vJt����ltil�l
TINIVERSAL IMP. & EXP . HOP
1O800 SW Garden P1 . 27-80
PPLICATION FOR BUSINESS LICENSE
CITY OF TIGA.RD
12420 S V. Main Street
P.O. Bex 23397
Tigard, Ox.gon 97223
DATE:
RECEIPTfi:
LICENSE r:
AMOUNT: _ L
BUSINESS t?A_tiE: ,f
v
° BUSINESS TELEPHONE NUMBER
BUSINESS ADDRESS: �� /� Lv • C�i 7���fZ1L �� G- 7�P�
TYPE OF BUSINESS:
ADDITIONAL INFO. : # of employees O of company vehicles, # of cus`_omer visits per day, operation
hours, sq. ft. bldg.: 'y�����
J.Y--.��L _
MAIL.LNG &,,)DRESS (IF DIFFERENT THAN A&OVE) : � ~
TAX MAP#- TAX LOT #:
NAME 6 TITLE OF APPLICANT: -1_( W L-
1►?----__
SIGNATURE:
TEIEPHONE NUMBER OF APPLICANT:
NAMES) OF 06JD!ER(S) [-_ Z
LF CONTRACTOR, STATE NUMBER:
DOTE: SOLICITATION OR SALES "DOOR TO DUOR11 ARE PROHIBITED WITHIN THE COMMUNITY, BUSINESS
LICENSES WILL NOT BE ISSUED FOR ;SUCH ACTION.
ACTION TAt•EN: APPROVED BY: "(i -
DVTE:1< 11
DENIED BY T)A'PE:
REASON:
GOND?TIONS: �' "�'
f
t
FILE
Ii0",E OCCUPATION PEWIT APPLICATIO'v
ORDI;YANCE # 79—,�P.2=
PASSED
APPLICANT___1��
BUS I N)SS NAM _ —_ ► ` C-�SAL /w�,
HOME/BUSINESS ADDRESS U
AS S) biz- 2..g.Q
HU,,M T=HONE NU3IBER` ,ate �Jj7 BUSINESS TELEPHONE NLADMI
TAX MAP # TAX LOT #
ZONE DESIGNATION
NATURE OF THIS REQUEST B_E! S P E C I F I� �C} . . . . . . . . . . . . . . . . . . . . . . .
AD
This application shall be submit to the Planning Director fo
�. n
conditions crr+y be added to the approval. of this permit.
Prior to conji nceirx�?nt of business, you will ob.ain a Business License.
LICLNSE NPIMER
SICnti' 11TRE - � DATE'
I0/22/79�m<.