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SGN2008-00067 SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 TIGARD GENERAL INFORMATION Name of Development /Project I ,, / FOR STAFF USE ONLY Sitelr ©G F7f O i Q/lr 5 Address / Street Address � Permit No.: 5 c7 tJ ZOQY' C.) 0bf Location / 22 5 51A) Hal 1 (D(_ (v . / Expiration Date: Suite /Bldg. # City /State Zip l cA . 6 1 C .� Receipt #: Name f �1 LA_ Approved By: I�- // --- C. Property g r.e-e_ rl b V 1"G CO r 31 f/r s Date: y I t Owner / Mailing Address 0 Suite Map /TL #: 15 1 2 --No C 4- O. i %z> �P . 1 S W A I cl -e- Zoning: 0 lA. C-' Ci /State Zip Phone O S Electrical Permit Required ?s ❑ No Tenant or Name Business La ( (1 (� 1 ,91- s Building Permit Required? ❑ Yes o Name J Rev. 7/1/07 e \curpin \ masters \land use applications \ sign permit app.doc Sign t ' � H S`lc3 t C©. Contractor Mailing Address Suite (Prior to permit issuance, a S 0 p Y 0 E I-0 YYl be, (a copy of all Gig/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses (Note: applications will not be accepted required if I4 0 9'72/9 5 3777 -q 553 expired in the Oregon &last Cont. Board License # Exp. Date without the required submittal elements) database) )� a ( S 2-/ 7 ❑ Completed Application Form Proposed Eermanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary ❑ wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon t apply) size requirement: 81/2" x 11", or 11" x 17" ErNew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: Li / tY / (3 copies, if a building permit is required) K / 2 size requirement 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 5 6 ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft q / 1 ❑ $19.00 Fee (Temporary sign, any type) n e) (Complete all Direction Wall Faces (circle / o): l items in this � NOTES: section) L_, S E W NE NW SE SW Height to top of sign (feet): / 3 ' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): / 3 it must include dimensions of wall face and sign p lacement. Copy: rjv p, 'l'� -yrs ,C gnyo , iy f " D„ 1 _� nblx signs do not require site /plot plans. Materials: 61 �Q di y m • Freestanding s over 6 ft. required a building Will sign have ill ation? Yes ❑ No permit. Type: r Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes [r]KNo NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. irviruD DAD 0 re.v•roni.... -....