SGN1995-00176 Permit No. (.N
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.
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SIGN LOCATION: /� U/ lah (��iC�KC��T U/ �� � J Pktc ( L ,q y
TAX MAP: 717 1 7-e4; LOOT NO: 223C° - y� ZONE: C -
NAME OF BUSINESS: t t If Y
APPLICANT /AGENT: 2)14 ,);w4/F-0 COMPANY:
PHONE: � /5 -
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 (6) BANNER ( )
FREESTANDING ( ) BALLOON 60
� I rv, , r
SIGN DIMENSIONS: ,s / 0 /2/4",71. EXPIRATION DATES_:
TOTAL SIGN AREA 0544. Ft.) ( 1 ) 4 12- t — G(S
HEIGHT: (Ft.) - /-C2 1 (2)
ILLUMINATION: YES ( ) NO (A) TYPE: (3)
COPY:
MATERIALS:
ADMINISTRATIVE EXCEPTION: N/A ( )<) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: D..V scale drawing and plot plan. If work
Receipt No: 5 1 authorized under a sign permit has not been
A. •roved B : U._ ,i�: completed within ninety days after the
Date: (r27 -1 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 (k) THE PROPERTY OR AN AGENT AUTHORIZED BY THE
OWNER.
BUILDING PERMIT
REQUIRED: YES ( ) NO (() Appll�icL/�ant's 6/(A/Le e
/ /( /J ��i (/ LX ' U 1 C�� �'v � � e)/ -
Address
Phone
bkm /TSPform