2007, 01-18 Affidavit of ExceptionSpokane
Dalley
CITY OF SPOKANE VALLEY
Community Development Department
Current Planning Division
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Tel: (509) 688-0197
Fax: (509) 921-1008
planninq@spokanevallev.orq
DATE SUBMITTED:
(Staff Use Only) Q4
1— (3r 0 7 RECEIVED BY: ✓ X
PLUS #:
AFFIDAVIT OF EXCEPTION
�� 1n /,
I,(PRINT NAME) /yJ/(/�k4 � . , the undersigned applicant for a Washington
State and Spokane Valley Master Business license, hereby swear that the following information
regarding���ttt�hheppbu��siness listed on my license application and based at my home address at
7�5M59,
,C-C�G/rr
true and correct:
1. There are no exterior alterations to my residence or any accessory structure(s) which change the
residential character of the property;
2. There are no goods or commodities stored on the premises (including accessory structures);
3. Goods and commodities associated with the business are not delivered to the premises;
4. There are no business customers visiting the premises; and
5. There are no signs or window displays on the property related to the license for which I have
applied.
I acknowledge that any change in the in the foregoing conditions, resulting from change or expansion in
business conditions, will require the issuance of a Home Profession Permit. I further agree to report any
change in these conditions to the Spokane - tey Community Development Department, Planning
Division, within 1 days.
Ird
Signed and Sworn to before me this / C day of
Date
Orel .— • 200%2.
NOTARY PUBLIC
Residing at
N ANIS FOR THE STATE 0 -WASHINGTON
My appointment expires:
(kg
1� Y
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AFFIDAVIT OF EXCEPTION
1/10/2007
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