2007, 01-10 Affidavit of ExceptionSpokane
Eley
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
planning Co�spokanevallev. orq
DATE SUBMITTED:
(Staff) �Usenly) � 0'07 RECEIVED BY:
PLUS #:
.1/c
AFFIDAVIT OF EXCEPTION
I,(PRINT NAME) Saki&h,(v[Al U
, the undersigned applicant for a Washington
State and Spokane Valley Master Business license, hereby swear that the following information
regarding the business listed on my license application and based at my home address at I'VL( t 1 L Ay
Mao F j(Zeiis 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.
1 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 Valley Community Development Department, Planning
Division, within 30 days.
Signature
Signed and Sworn to before me this 1 (-'
day ofJ(.(
C\/l )/G-7
Date
, 20 7 .
f(c�u
NO ARY PUBLIC IN AND FO HE STATE OF WASHINGTON
r.
Residing at Imo' 1U. 01,v 117,j2 �{ • �(7 LC),'1 �1
My appointment expires: ' ;
AFFIDAVIT OF EXCEPTION
1/10/2007
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