SGN1995-00180 Permit No. C j l' it/ 9 5- O I
CITY OF TIGARD
SIGN PEWIT 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 5-2 F w l ZONING: r - - i a-9
NAME OF BUSINESS: 4$ Q. GL_OUL I NCUwte TrA
APPLICANT /AGENTaNTreh COMPANY: EL/A E /C PHONE: (,3' 32J2
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 #
PROPOSED SIGN: (Check as many as apply)
PER ANENT FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL ( ELECTRONIC ( )
GIHER ( ) BILLBOARD ( ) BALLOON ( )
SIN DIMENSIONS: X 8 EXPIRATION DATE:
TurAL SIGN AREA (Sq. Ft.): 2
WALL AREA (Sq. Ft.) : 2 8" 21 = 3 g'
WAIL FACE: 2I
HELOT (Ft) :
PROJEC'PION FRC»I WAIL: (0"
ILLUMINATION: YES ( >4 ) NO ( ) TYPE: a)c) , F�,►2
COPY: 14 * [2 tsczc k Igo
MATERIALS: A-LiA) v6 P LE o'-
EXISTING SIGNS: o " Ct CA Ft H ` rL 6wcg
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HON MUCH . %
AREA ( ) ( )
PLAN KING DEPARTMENT All sign permits is must be accompanied by a scale
Permit Fee: 0/0 drawing and plot plan. If work authorized under
Receipt No: -z 3 3 ((F a sign permit has not been completed within ninety
Approved By: �� i days after the issuance of the permit, the permit
Date: (eoCvs'S shall become null and void.
EE EC IGAL PERNUT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES (1-1 ° ( ' A ' ='+ AGENT AUIHORIZED BY THE OWNER.
BUILDING PERMIT A
-
REQUIRED: YES ( ) NO • • cant' ignature
c � o� 23 �+ �'72zs 324 z_
cP /BEMPEdT Address Telephone
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