HOP 28-80 11845 SW 91ST TIGARD ` 01JSEKEFPING SEV. HOP
11845 SW 91st 28-84
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HOME OCCUPATION PERMIT APPLICATION
(Reference Ordinance
Passed )
APPLICANT Z—/o ^Z ly-LllC/_
ADDRESS
TELEPHONE NUMBER
TAX MAP #---
TAX
'SAX LOT _1 ZONE DESIGNATION
BUSINESS .�yle z
ADDRESS
BUSINESS TELEPHONE NUMBER
NATURE OF THIS REQUEST. BE SPECIFIC.'Phis application shall be submitted to the Planning Director for
review . Certain conditions may be added to the approval. of this
permit . You aro? hereby noti. fied .
Prior to commencement of business . you will obtain a Bu.-nint--ss License .
LICENSE N UiAB E H (� er5 0_��,��' _ _TI.
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APPLICATION FOR BUSINESS LICENSE +
• CITY OF TIGA D
12420 S.W. Main Street
P.O. Box 23397
Tigard, Oregon 97223
DATE:
RECEIPT:
LICENSF#: ..�
AMOUNT:
BUSINEss NAKE: _/� L/s !_ i1�'Eis`'''S
BUSINESS TELEPHONE NUMBER:
13USINESS ADDRESS:
TYPE OF BUSINESS: IleC s� � T � � G�_"-000
KDOITIONAL INFO. : # of employees, # of Company vehicles, # of customer visits per day, operation
hours, sq. ft. bldg..
ILAILING ADDRESS (IF DIFFERENT THAN ABOVE) :
rAX MAP k: TAX LOT #
LAME & TITLE OF APPLICANT:
SIGNATURE:
TELEPHONE NUMBER OF APPLICANT:
1 AME(S) OF c w- E R(S) : '4xLrl
IF CONTRYCTOR, STATE NUMBER:
TOTE: SOLICITATION OR SAFES "DOOR TO DOOR" ARE PROHIBITED WITHIN THE COMMUNITY. BUSINESS
LIC..NSES WILL NOT BE ISSUED FOR SUCH ACTION.
k(;TION TAKEN: APPROVED 13X: ���� `�����.✓ _ DATE: 10
DENIED BY DATF:
REASON.,
CONDITIONS: