SGN1991-00144 Permit No. ' / - / 4-
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accampanying plans and specifications. �J /
SIGN LOCATION ADDRESS: 1 c 5
NAME OF BUSINESS: CotA'? Le/2 /h GCJC. A240i c_
APPLICANT /AGENT: Fah f 3'r5 kn., COMPANY: at -' Tint S PHONE: ZFg -
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 # N ri) u- G'fl .
PROPOSED SIGN: (Check as many as apply)
PERMANENT (() FREESTANDING ( ) FRE�Y ( )
TEMPORARY ( ) WALL (c') ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: 1 Q " N 7a " EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): G'
WAIL AREA (Sq. Ft.) : p
W ALL FACE: $/
HEIGHT (Ft) :
PROTECTION FROM WALL: ki o n1 e-
ILL ATTON: YES ( ) NO (> TYPE:
COPY:
MATERIALS: -4_L r /, -�►j p
EXISTING SIGNS: nl Moue
AEMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
N'S:
-- PLANTING DEPART All sign permits mast be accompanied by a scale
Permit Fee: drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been completed within ninety
Approved By: days after the issuance of the permit, the permit
Date: shall became null and void.
ELECTRICAL RICAL PER K T I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO ( ) PROP DINI.. OR AN RIZED BY THE OWNER.
BUILDING PERMIT
REQUIRED: YES ( ) NO ( ) Applicant s ignature
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cp/BKMPERMT Address Telephone
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., AL1- col our l " 77-//&K Si WITH /3R / 6/ /7 U 4/ (s/L 612 ) wR /ScaE FACES.
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DESIGN PROPOSAL FOR
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