Page 1 of 3 Revised 08/2016
Please check one of these boxes:
I am applying for a New Permit I am applying for Permit Renewal
APPLICANT: Use mailing address for meeting notification Check box if Primary
Contact
COMPANY:
ADDRESS:
CITY, STATE, ZIP
PHONE: FAX: E-MAIL:
SIGNATURE: CONTACT:
(Original Signature Required)
PROPERTY OWNER(S): Attach separate sheet if needed Check box if Primary
Contact
COMPANY:
ADDRESS:
CITY, STATE, ZIP
PHONE: FAX: E-MAIL:
SIGNATURE: CONTACT:
Note: A land use application must be signed by the property owner(s) or by someone authorized by the
property owner(s) to act as an agent on their behalf. If someone is signing as the agent of the property
owner(s), that person must submit a written statement signed by the property owner(s), authorizing the
person to sign the application.
PROPERTY INFORMATION (REQUIRED)
SITE ADDRESS:
ASSESSOR’S MAP & TAX LOT # LOT SIZE ZONING DISTRICT
BUSINESS NAME:
EXISTING USE OF SITE:
CITY OF
O F F I C E U S E O N L Y
FILE #:
FILE NAME:
TYPE: RECEIVED BY:
FEE PAID: CHECK/CASH:
SUBMITTED: LWI DESIG:
LAND USE DESIG: NAC:
TEMPORARY USE MOBILE SALES APPLICATION
CITY OF BEAVERTON
Community Development
Department
Planning Division
12725 SW Millikan Way
PO Box 4755
Beaverton, OR. 97076
Tel: (503) 526-2420
Fax: (503) 526-2550
BeavertonOregon.gov
click to sign
signature
click to edit
click to sign
signature
click to edit
Page 2 of 3 Revised 08/2016
A. APPLICATION FORM. Provide one (1) completed application form with original signature(s).
B. CHECKLIST. Provide one (1) completed copy of this one page checklist.
C. WRITTEN STATEMENT. Submit three (3) copies of a detailed description of the proposed
project.
In the written statement, please provide:
Individual findings specifically addressing how and why the proposal satisfies each of the
criterions within the appropriate Approval Criteria Section of Chapter 40 of the Development
Code (ORD 2050), attached.
Hours of operation, total number of employees, and maximum number of employees per shift.
Length of time the structure(s) are proposed to remain on site.
Type of sales stand or building to be used.
Detailed description of the proposed use including type of sales and products.
D. FEES, as established by the City Council. Make checks payable to the City of Beaverton.
E. BUSINESS LICENSE. Provide one (1) copy of business’s current City business license.
F. SITE PLAN: Submit three (3) copies of a current site plan of the entire property. If the plan is not
to scale, it must be fully dimensioned. Label and show the location of:
property lines
vision clearance areas
proposed sales area or building
existing buildings on site
surrounding development adjacent to the
proposed use
existing and proposed parking areas and
their access
G. FOOD VENDING LICENSE. Provide one (1) copy of current license from Washington County.
H. FIREWORKS LICENSE. Provide one (1) copy of current license from appropriate state and/
or local agency.
I have provided all the items required by this one (1) page submittal checklist. I understand that any
missing information, omissions, or both may result in the application being deemed incomplete, which
may lengthen the time required to process the application.
Print Name Telephone Number
Signature Date
CITY OF BEAVERTON
Community Development Department
Planning Division
12725 SW Millikan Way / PO Box 4755
Beaverton, OR. 97076
Tel: (503) 526-2420 ● Fax: (503) 526-2550
www.BeavertonOregon.gov
click to sign
signature
click to edit
Page 3 of 3 Revised 08/2016
Pursuant to section 50.25.1.b of the development code, a written statement addressing the
approval criteria for an application must be submitted in order for an application to be deemed
complete. Statements such as “not applicable” or “the proposal will comply with applicable
development regulations” are not satisfactory. The written statement must address each criterion
and must specify in detail how each will be complied with. An applicant for Temporary Mobile
Sales shall address compliance with all of the following Approval Criteria as specified in Section
40.80.15.1.C.1-15 of the Development Code:
1. The proposal satisfies the threshold requirements for a Temporary Mobile Sales application.
2. All City application fees related to the application under consideration by the decision-making
authority have been submitted.
3. The proposal contains all applicable application submittal requirements as specified in Section
50.25.1 of the Development Code.
4. The proposal is located entirely within private property in a commercial, multiple use, or
industrial zoning district, and the applicant has written permission from the property owner to
utilize the subject property for the proposal.
5. The applicant has written permission from the City if the proposal is located on a public right-of-
way within any of the Regional Center and Town Center Multiple Use Zoning Districts.
6. The proposal will not pose a threat to the public safety or convenience when the temporary use
is proposed to be located on a public right-of-way.
7. The use in which the proposed temporary use is engaged is listed as a permitted use in the
specific commercial or multiple use zoning district and complies with all applicable use
restrictions of the zone.
8. The proposal will not be located within the vision clearance area of an intersection as specified
under Section 60.55.50 of the Development Code.
9. The proposal does not involve use of a permanent structure.
10. The proposal shall not obstruct or occupy minimum required parking spaces unless it can be
demonstrated that the minimum required parking is not being used by the permanent use
located on the subject site pursuant to Section 40.55.15.3 (Excess Parking) of this Code.
11. Safe vehicle and pedestrian circulation is provided consistent with Section 60.55
(Transportation Facilities) of the Development Code.
12. The proposed hours of operation for the temporary use, are allowed in that zoning district and
do not require Conditional Use approval.
13. A permit for Temporary Use Mobile Sales has not been issued for another temporary use on
the same site during the same approval period or portion thereof.
TEMPORARY USE MOBILE SALES APPROVAL CRITERIA
WAIVER
CITY OF BEAVERTON
Community Development Department
Planning Division
12725 SW Millikan Way / PO Box 4755
Beaverton, OR. 97076
Tel: (503) 526-2420 ● Fax: (503) 526-2550
www.BeavertonOregon.gov