2007, 01-18 Affidavit of Exception Q„�� CITY OF SPOKANE VALLEY (Staff Use Only) ,
Spokane Community Development Department /7,
DATE SUBMITTED: / � -CO RECEIVED l"J BY-4d
py Current Planning Division
11707 East Sprague Avenue, Suite 106 plus #:
Spokane Valley,WA 99206
Tel: (509) 688-0197
Fax: (509) 921-1008 AFFIDAVIT OF EXCEPTION
planninoC�spokanevallev.orq
I,(PRINT NAME) 4 >Q AAA D A) FR i C( , 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 1/CO I S
S;,1N43tQLAA.) -,a. 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.
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 Valley Community Development Department, Planning
Division, within 30 days.
07
Signature Date
Signed and Sworn • •- ore me this 1 s `-day of , 20 67 .
-'e 0t4 Etp4-y4(e ``
NOTARY PUIC IN AND FOR THE STATE OF WASHINGTON
I )" �AY1, „' Residing at St0IL.-fig V
��`���•-��` My appointment expires:
AFFIDAVIT OF EXCEPTION Page 1 of 1
1/10/2007