SGN1996-00051 CITY
SIGN PERMIT
PERMIT #: SGN96-0051
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839~*171 DATE ISSUED ` 04/25/96
EXPIRATION DATE: 07/25/96
PARCEL ~ 2S102BD-00700
ZONE. . . . . . . . . . . : C-G
BUSINESS NAME. . : TIGARD HOLISTIC HEALTH CLINIC
SIGN LOCATION. . : 09830 SW MC KENZIE ST
APPLICANT/AGENT : STACY RAFFETY
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING (Y) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2' X 5'
TOTAL SIGN AREA. . . . . . : 10 sq. ft.
WALL AREA ^ 0 sq. ft.
WALL FACE (DIRECTION) : E
SIGN HEIGHT ^ 0 ft.
PROJECTION FROM WALL. : 0 in.
ILLUMINATION ^ NON
DESCRIPTION OF SIGN: Replacing existing sign with new copy
MATERIALS. . . . . . . . . . . . : WOOD
EXISTING SIGNS ^ 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED. . : N
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 10. 00
APPROVED BY: C fV k/k.'
PERMITTEE m�A.IoC_
DATE: 04/25/96
• • • tit
RECEIVED
APR
Permit No. (.9k) d'
CITY OF TIGARD CON1Mumit , •
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications.
SIGN LOCATION ADDRESS: (1 ZONING: e -
NAME OF BUSINESS: A
APPLICANT/AGENT: , COMPANY: SIA
PHONE:
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons doing business in the City. Do you presently have a current business tax?
YES ( ) NO ( ) U.L. Label # -Pev‘aw,
ittla-VbX,U SIGN: (Check as many as apply)
PERMANENT ( s,() riax.;b1ANDING ) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: i 13 EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) :
WAIL AREA (Sq. Ft.) :
WALL FAZE:
HEIGHT (Ft) :
PROJECTION FROM WALL:
ELIMINATION: YES ( ) NO ) TYPE:
COPY: ga-ViktiLk(1/445 0.00PL/
MATERIALS: \ (-
EXISTING SIGNS: - (`` A,- \ ( t
; •
\
AMINISTRATIVEEX=ION: N/A ( ) APPROVED ( ) HOW MUCH
EA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEWOITU/T All sign permits must be accompanied by a scale
Permit Fee: 1 H.U.00 drawing and plot plan. If work authorized under
Receipt No: ono -2-16(dr a sign permit has not been completed within ninety
Aniorove3 By: Z •01\1&irAPtA“.--' days after the issuance of the permit, the permit
Date: -I 2- shall become null and void.
ELECTRICAL PERmrr I tz2clarl THAT I AM THE ± <u1J OWNER OF THE
EP_QUIKW: YES ( ) NO ko PROPERTY OR AN AGENT AUTHORIZED BY THE OWNER.
is
BUILDING PERMIT ±-7
XV.,)U1E.MU: YES ( ) NO N Applicant's Signaturb
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cp/BKMPERMT Address Telephone
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CITY OF TIGARD
Approved [ ]:
Conditionally Approved [ ]:
For only the Work as des‘,-,iibed in:
PEFitiliT i\O. 912:30, mcKentztE. sr
See Letter to. Fc.! "'ft' [ j: "TIGARD, ockeGot-4
Attach [ 1:
Job Address: ?Lr 'PLP.‘N r-oik 5 i G t4 'PERM II-
By: Date: 3/18/94 ScA-LE ya" =z'
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ACUPUNCTURIST
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NATUR
DOCTOR
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Fidelity National Title Co. of Oregon �-
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• As sketch below is made solely for the purpose of assisting in locating said premises and the Company assumes p
Ility for variations, if any, in dimensions and location ascertained by actual survey.
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