CITY OF HAPPY VALLEY
16000 SE Misty Drive
Happy Valley, OR 97086
Phone: 503-783-3800
Fax: 503-658-5174
Web: happyvalleyor.gov
Location of Home Occupation: ( SITE ADDRESS )
_________________________________________________________________________________________________
Description of Proposed Home Occupation:
___________
____________________________________________________________________________
______________________________________ ________________________________________________
Name of Applicant Address of Applicant
_____________________________________
Phone Number of Applicant
Name of Property Owner: _________________________________________________________________
Address of Property Owner: _______________________________________________________________
Phone Number of Property Owner: __________________________________________________________
A Class B home occupation permit will be processed by means of a quasi-judicial procedure, and is subject to
review by the Planning Commission, per the requirements of Chapter 16.48 (Administrative Procedures).
By signing below, I acknowledge that the proposed home occupation is in conformance with the General Require-
ments of Section 16.69.020 of the City of Happy Valley Development Code, and hereby grant right of entry for site
inspection by City Staff or their designees. I further acknowledge that this permit is valid as long as an active business
license is maintained and renewed annually with the City of Happy Valley. I understand the City may revoke a home
occupation approval if the conditions of approval have not been complied with or the Class B home occupation is
being conducted in a manner contrary to Section 16.69.020.
SIGNATURES:
X ________________________________ X_______________________________________________
ZONING:
___________________
PLEASE COMPLETE THE ATTACHED QUESTIONNNAIRE
Required
Attachments:
Ƒ Mailing labels for abutting
properties/homes
Ƒ Application Fee $750.00
Business License $50.00
YOUR APPLICATION MAY NOT
BE ACCEPTED IF ALL
REQUIRED
ATTACHMENTS ARE NOT
INCLUDED WITH THIS FORM
FOR OFFICE USE ONLY:
Date Received: ______________
Amount Paid: ______________
Receipt # ___________________
Ƒ Approved
Ƒ Denied
Ƒ Current Business License #___________________
PERMIT # HOB-___________________
Staff Signature: Date
___________________________________________________
CLASS B
HOME OCCUPATION PERMIT
2-25-2016
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