SGN1995-00039 Permit No. 9r
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.
SIGN LOCATION: 12625 6250 c ('YS. , l 1 0 )
1
TAX MAP: LOT NO: ZONE:
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NAME OF BUSINESS: 1! Al ewe( i 0' - , Cd A ta / f
APPLICANT/ G N T: ' 1k. _ 4 ' - COMPANY: `, .." /_el y / / , ,
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PHONE: - r lam,
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 (lam) BANNER ( )
FREESTANDING BALLOON ( )
SIGN DIMENSIONS: ))( EXPIRATION DATES:
TOTAL SIGN AREA (S Q , Ft.) -t{- (1)
HEIGHT: (Ft.) L--{ Pi- (2)
ILLUMINATION: YES ( ) NO ()() TYPE: (3)
COPY �. 1 1 4 _AA/ _ •
V 1 / 4 �l� ll indLaidt J fryta_
MATE RIAL Q .� i7�/� r :�• �"i Zi77�a
1114000 I -I iiTlPri■
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: tIi scale drawing and plot plan. If work
Receipt No: c `333 3 authorized under a sign permit has not been
Approved By completed within ninety days after the
Date: 03,' -6 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 PROPE :T OR AN AGENT AUTHORIZED BY THE
OWN l op I I
BUILDING PERMIT '�1 -W, Vim■
REQUIRED: YES ( ) NO (,_) Applic -n 's Signatur.
1205 LSO VT r t Tf
Address � q7)-.):3
Phone
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