2007, 01-25 Affidavit of Exception�,1 � e
..;oOVal k
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
planninoCalspokanevallev.org
(StaffC Use Only) N
FDATESUBMITTED: RECEIVEDBY:
AFFIDAVIT OF EXCEPTION
(,(PRINT NAME) �A L�i9�i�s —,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
9'.11111 is 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.
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 Date
Signed and Sworn to before me this C�o day of IV J , 20_LL.
�P M . GRA
`5g10N F,IA�it\/
G v'F Nn'fARV �N Z
• —
Z26,10.1/&F
BLIC Z
�9
NOTARY( PUBLIC IN AND FOR T145'78TATE OF WASHINGTON
Residing at fc;)O N C�`i�`��c- ,� GV 0212 6
My appointment expires:
AFFIDAVIT OF EXCEPTION Page 1 of 1
1/10/2007