SGN1995-00066 Permit NO. gC1 nqs -az
CITY OF T IGARD
SIGN PERMIT APPLICATION'
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. n
sslat LOCATION p
ADDRESS: ( i g Cw /ac, -1 I-4wy ZONING: C'
NAME OF BUSINESS: t4/ f e ✓ fi A 1
APPLICANT /AGENT: COMPANY: tiC.Sferfi S4;66 PHONE: 2- V Z
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)
PERMANENT
T� (f) (�) EL CI IC ( )
OTHER ( ) =BOARD ) BALLOON ( )
SIGN DIMENSIONS: `� � j � � ON I 1
ZUTAAL slcyr AREA (sq. Ft.) - 1)� ° j = /
WAIL AREA (Sq. Ft.) :
WALL FACE:
.HELOT (Ft) :
PR I ECTION FROM WALL:
UII]MI / N TTCN: YES ( ) NO TYPE:
COPY: / cJ 1 -1044, 6,/and S/ /.09.
MATII2TALS: \� � v� �
EXISTING SIGNS: Y\ ()-(V�
ACKIIIISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEICf ( )
COME fTS :
PLANNING DEPARTMENT All sign permits must be accompanied by a scale
Permit Fee: JO . (..)D drawing and plot plan. If work authorized under
Receipt No: 9.5 2 0 / a sign permit has not been completed within ninety
Approved By:. L.L) days after the issuance of the permit, the permit
Date: L .. /`2 79 ; shall become null and void.
ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO ( ) PR ct.CY OR ; - • A[TI} ORIZED BY THE OWNER.
BUILDING
p ET?MIT ii� i._
REQUIRED: YES ( ) NO (L) App 'cant' Signature
cp/BFC:` PERRT Address Telephone
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