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Rev. 9/26/2023 Community Development Department: Planning Division Certification of Conformance with Home Occupation Standards Form I hereby certify that I shall conduct my business that is a home occupation where the Woodburn Development Ordinance (WDO) allows the use and in conformance with the home occupation standards of WDO 2.07.10. Address of the Home Occupation Business Name Home Occupation Operator Name and Title Operator Phone Number Operator E-mail Address Landowner’s Signature Operator’s Signature (if different than landowner) Print Name Print Name Date Date City Use Only: Date-stamp here: