SGN2003-00088 0";/14/2003 15:32 FAX 5035981960 CITY OF TIGARD 16002
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• CITY OF TIGARD 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (50,3) 684 -7297
GENERAL INFORMATION
Ns me of Development/Project FOR STAFF USE ONLY
Site 7- c ..S , z
Address/ Street Ad ress / 10 Permit No.: S c� a003- (UOC' S8
Location i76 , � G3 (I1 &2
Expiration Date:
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Suitel8tdg. # City/State Zip
_ / /5-GLra �•7,2Z� Receipt #: .
Name Approved By:
Date: \\4: , 5 (
Property vv i C)
Owner Mailing Address Suite Map/TL #:
Zoning: n ° ..s 3 pa f at CAt/
City /State Zip Phone
• . Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Building Permit Required? ❑ Yes ❑ No
Business
Name Rev. 01-Jul-02 is \curpin \maslers \rcvisod \sign permit app.doc
Sign
Contractor REQUIRED SUBMITTAL ELEMENTS
Contractor Malting Address Suite
(Prior to permit (Note: applications will not be accepted
Issuance. a without the required submittal elements)
- copy of all City /State Zip Phone
licenses are `
required If I • i ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard•s License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
databaseL (3 copies, if a building permit is required)
Proposed ❑ Permanent Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary Wall ❑ Electronic
(Check all that ❑ other ❑ Bi llboard ❑ Balloon 1 ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
j New sign? ❑Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign I '
� x `T ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): a $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): 2 aide( s11 NOTES:
Items in this J
section) OCR E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: d '610110 AM lI- i.' V- • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes xi No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes X No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. --
(OVER FOR SIGNATURES)
03/14/2003 15:32 FAX 5035981960 CITY OF TIGARD !1003
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
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DATED this 6 bt�t o f cb--t aY , 20 r-
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Sig ature of r /Age t fir
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Contact Parson Na Phone No.
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