SGN1996-00150 Permit No.
QTY OF TIGARD
SIGN PERM' APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. (S 1 92 1-{- '
SIGN LOCATION ADDRESS: /cW,5D5' .�w /t-O- ,444e-6 4J ZONING: g-2-5- - 2 5 (7
NAME OF BUSINESS: ‘ 111-101-0-u ) ' Lf .e.A t/�?4G4(- 6
APPLICANT /AGENT -4- 11 i.0 COMPANY: C� 6 � ` PHONE: 7 3 7
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons doing business in the City. Do you esently have a current business tax?
YES ( ) NO ( ) U.L. Label #
PROPOSED SIGN: (Check as many as apply)
PERMANENT ( ) FREESTANDING ( :) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) '' // BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: X Y _ 52 K Z.. EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): ' 6 < i ii
WALL AREA (Sq. Ft.):
WALL FACE: `- LUk.
HEIGHT (Ft) :
PROJEL ION FROM WALL: 404
IT T r IIIMATION: YES ( ) NO K) TYPE:
COPY: M _ 4-D &)
MATERIALS: L L 1 t 4 < PLV GU O en, tvP-&X / FT / /2_001/4-4
E X I S T I N G SIGNS: E f t A)6- P, -e1/1 a a 61 6-1LI
z..;51( Pee- M 8EP-T7 31019 b
ADMINISTRATIVE EXCEPTION: N/A (,() APPROVED NO) 13M MUCH %
AREA ( ) HEIGHT ( "EXIS11 r-
COMMENTS:
Y v<Anl.l - (S5LkG A 1tAJ y
PL4►i 007 TD &A (e- s lcr A-U g n c; alA.,ED
PLANNING DEP?R MEVT All sign permits must be accompanied by a scale
Permit Fee: 50 `- drawing and plot plan. If work authorized under
Receipt No: s AO a sign permit has not been completed within ninety
, ..roved : : 4tHIBE%r days after the issuance of the permit, the permit
Date: � /i shall become null and void.
ELEC'L'RICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO PROPERTY 41; AGENT AUTHORIZED B THE OWNER.
BUILDING PERMIT ` • , •
REQUIRED: YES ( ) NO ( ) Applicant's Signature f �'
cp /BYMPE1 T Address 'T�elep one
N:\WORD\CDMDEV\ /
A