SGN1994-00173 ,
Permit No. �'T 1 V C ll .- 7�
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.
SIGN LOCATION: 1O4SS 5 ) CCltcSQ-c�C-Q- 0-L • �T
TAX MAP: l S I `7 ( LOT NO: l CYO ZONE: C — (
NAME OF BUSINESS: �'u- P.''r`.ol.L\ /_D _ D tl',U " \
- 4"fl iY2 VL i1.,�A_-
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APPLICANT /AGENT: CLU-\s) .- L01 S' COMPANY: � - "k J t.� -
;,2 - Q
" PHONE : (0 2 0 I C 72_ I J J,
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 0 NO ( ) Q.L. Label #
PROPOSED SIGN: •
TEMPORARY (D< ) BANNER ( )
FREESTANDING ( ) BALLOON ( )
SIGN DIMENSIONS: q X 3 EXPIRATION RTES
TOTAL SIGN AREA (Sq. Ft.) 1-2 _ - D- (r ) l0 � G''j
HEIGHT: (Ft.) '-1 (2) \- - NC,) C
ILLUMINATION: YES ( ) NO (�) TYPE: P 1-)oa (4 (3) - - -MiO 4 to (o. of cJ
COPY: ; 102 ZQc.Y C'J S-',• _= -
MATERIALS: ,.`,(
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
COMMENTS: .
PLANNING DEPARTMENT - All sign permits must - be a
Permit Fee: �C• o C ' scale drawing and plot plan. If work
Receipt No: authorized under a sign permit has not been
Approved By: L c' -, '--- y -P :ct . completed within ninety days , after the
Date: ( -1 _ 24, - 1 -1. ,, ;: :. issuance of the permit,:.: the permit: shall
become null and. void. _ '
ELECTRICAL PERMIT';.: ; ' : .y„:. r, _. .. ;,;; ; r. I CERTIFY THAT . I AM THE ED OWNER.. OF ::•.`:• :.. ' .•... _
REQUIRED:. YES .NO;; F a.. ' ',THE PROPERTY OR AN' AGENT ?AUTHORIZED .: BY;'THE r
BUILDING PERMIT z .. • u 5 ,f � `�s r:' a J ' . '" / j � . - ..- � "�
REQUIRED: _:YES ( ). • NO:=( ) . ,z ` `Applicant's Signature t x: - ; ✓ '
Address / q 72-
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• Phone
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