SGN1995-00023 Permit No. _ lV "t 5 p
CITY OF TIGARD
TEMPORARY SIGN PERMIT
The applicant hereby applies for a permit for the work indicated or as shown in
the accompanying plans and specifications. `�� y �
SIGN LOCATION: i(2 ( ( (/V - J / / Ci d / / , �d � `( l k .
TAX MAP: LOT NO : ZONE: �.(
NAME OF BUSINESS: -he 6 S
APPLICANT /AGENT: /anilf ,/ COMPANY:
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 #
PROPOSED SIGN:
TEMPORARY ( -�' BANNER ( )
FREESTANDING ( ) BALLOON
SIGN DIMENSIONS: G' EXPRATION DATES:
TOTAL SIGN AREA (Sq. Ft.)
HEIGHT: (Ft.) 7 (2)
ILLUMINATION: YES NO ( ) TYPE: :TAT/ (3)
COPY: a f L-Al 1✓JGF
MATERIALS:
ADMINISTRATIVE EXCEPTION: N/A t>4) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: /U scale drawing and plot plan. If work
Receipt No: authorized under a sign permit has not been
Approved By: £)i) completed within ninety days after the
Date: ( 1• - j issuance of the permit, the permit shall
become null and void.
ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF
REQUIRED: YES ( ) NO ( ) THE PROPERTY OR AN AGENT AUTHORIZED BY THE
OWNER.
BUILDING PERMIT
REQUIRED: YES ( ) NO ( ) Applicant's Sig ature
Address '
Phone
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