SGN1995-00144 .
Permit No. S6 td Rs 61 ( 44
CITY OF TIGARD
SIGN PERKET APPLICZTICN
The applicant hereby applies far a permit far the work indicated or as shown in the
accompanying-plans and specifications.
SIGs/ LJCA ricer ADDRESS: !- 5 J S &-�.. /11' , e.1 s � zariNG:
NAME OF BUSINESS: /` L_ L -2_S'
APPLICANT /AGENT' /M t -L-e/2- COMPANY: 45 )40 PHONE: (�: � ` L� (‘f ,
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?
IES c) NO ( ) U. L. Label # q5 3 s'
PROPOSED SIGN: (Check as many as apply)
PERMAN2ENT C) FREESTAPIDING FREEWAY
TORARY ( ) ■1LL CL e'(o C ( )
=2
SI&N DIlMEISIONS: f X eS?" EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : ' J
WAIT, AREA (Sq. Ft.) : r' 'r '
WAIL, FACE: y o"
. H C3II' (Ft) :
PROJEariON FROM WAIL: I : Fermi 6`, ur'r' f, ! 6/k: of
rr r rsranmEON: YES ( ) NO ') TYPE: w v o4 v' ( r.)y - -
COPY:
MATERIALS: 4''L ) Bd.iv '
E3G SI .S : K
EXC '.ETON: N/A ( ) APPROVED ( ) HOW MUCH
COMMENTS:
AREA ( ) HEIGHT ( )
Pr KNTING D AKIMSrr All sign permits must be accompanied by a scale
Permit Fee: � .0D drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been completed within ninety
Aved Bv: days after the issuance of the permit, the permit
shall become null and void.
ELECMICAL PERMIT I Cagy THAT I AM THE R ODFDED laiMER OF THE
R te: YES ( ) NO PROPERLY OR AN AGFTIr AUrHORIZED BY THE CANER.
DING P?'r ( -
' YES ( ) NO Applicant's Signature
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p/ Address j'iG- Telephone
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