SGN1990-00119 p I ic.•.tie cc,C 5 c-IV 90 _o /i y
Permit No. Sr iv c' -
CITY OF TIGARD
SIN PERmrr APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications.
SIGN LOCATION ADDRESS: / L / 2 -SO S, we -) 2 ZONING:
NAME OF BUSINESS: Al E- - a u S 1 #J £ to ti?--
APPLICANT /AGENT: CleA 16 Pt E R.s o ►.l COMPANY: e# SC h r £. cv c t/ SS PHONE: 03 - (o lip 17
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 E) FREESTANDING 0.c FREEWAY ( )
TE MPC RARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BI IBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: ' r w/ OE, X S — f1 ► EXPIRATION DATE:
WrAL SIGN AREA (Sq. Ft.) : 3 to S t=
WAIL AREA (Sq. Ft.) : 7 / /4
WALL FACE: N 14
HEIGHT (Ft) : //,4
PROJECTION FROM WAIL: N/
TT BM NATION: YES ( ) NO TYPEi
COPY:
MATERIALS: CoNcgc -€. 06 4SL - m17 CtPPE2 - 7'
EXISTING SIGNS:
ADMINISTRATIVE E}CCEPTZON: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMNIEN S:
PLANNING DEPARTMENT All sign permits must be accompanied by a scale
Permit Fee: Z37 S drawing and plot plan. If work authorized under
Receipt No: •% - a sign permit has not been coanpleted within ninety
Approved BV: days after the issuance of the permit, the permit
Date: shall become null and void.
ELECTRICAL ICAL PERMIT I CERTIFY THAT I AM THE REODRDED OWNER OF THE
REQUIRED: YES () NO ( ) PROPERTY OR N. AUTHORIZED BY THE OWNER.
BUILDING PERMIT -
REQUIRED: YES ( ) NO ( ) Applicant's Signature
/0 Z.y AC. E, /JA V IS 1612--1 . 14.,.)b: 2.3y —(0 17
cp/BKMPE:RMT Address 9'7 2_32._ Telephone
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