SGN1995-00067 Permit No. 9 c_0106.
CITY OF TIGARD
SIGN PERMIT APPLICATION f
The applicant hereby applies for a permit for the work indicated or as shown in the
ac plans and specifications.
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SIGN LOCATION ADDRESS: /200 5.1,J (y A rd e/t) PI-AC C- ZONING:
NAME OF BUSINESS: A v7o ffA ✓ D4F /L� $ /s/e /s
APPLICANT/AGENT: COMPANY: 451-A2 c 5 /6r)S PHONE: X0 3'9"
The City of Tigard imposes an annual Business Tax which mast 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 ( ) FREESTANDING (- FREEWAY ( )
TEMPORARY ( ) WAIL ( ) ELECTRONIC RONIC ( )
OTHER ( ) BILLBOARD OARD ( ) BALLOON ( )
SIGN DIMENSIONS: l/ ' N /Gh (o 1 J )6- EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : 2 / 5 c
WAIL AREA (Sq. Ft.) :
WAIL FACE:
HEIGHT (Pt): /o
PRO.JEC'TTIOON FRI:N WALL:
SON: YES ( ) NO (A() TYPE:
COPY: 91 r ec 72 r' )e- /,4 P
WTERIALS: ALu /,✓v
EXISTING SIGNS:
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUG! o
AREA ( ) HEIGHT ( )
CCMNrS:
P L A N N I N G DEPARTMENT All sign p e r m i t s mast be a c c o m p a n i e d b y a sc 1 e
Permit Fee: 42N drawing and plot plan. If work authorized under
Receipt No: q �; - pc- $Co0 a sign permit has not been completed within ninety
Approved Bv: �� days after the issuance of the permit, the permit
Date: /750i 9S shall become null and void.
ELECTRICAL PERMIT I CITIFY THAT I AM THE RECORDED OWNER OF THE
QED: YES ( ) NO (29 PROP D1 THE AUTHORIZED BY EE OWNER.
BUILDING PERMIT
/ �_
REQUIRED: YES ( ) NO 9C) • ..l cant's Signature �-
cp/BKMPERMI Address Telephone
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