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SGN1994-00163 SIGN PERMIT PERMIT #: SGN94 -0163 ISSUED EXPIRATIONDATE: PARCEL • 2S112DD -00300 ZONE • I -L BUSINESS NAME..: SHELL - JACK POT SIGN LOCATION..: 15900 SW 72ND AVE APPLICANT /AGENT: KEN VAN DEVENDER BUSINESS TAX NO: SIGN: PERMANENT (X) FREESTANDING (X) FREEWAY ( ) TEMPORARY ( ) WALL ( ) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS • 6' X 11' TOTAL SIGN AREA • 66 sq.ft. WALL AREA sq.ft. WALL FACE (DIRECTION): NA SIGN HEIGHT 20 ft. PROJECTION FROM WALL.: in. ILLUMINATION • INT DESCRIPTION OF SIGN: Permanent, freestanding. 6' x 11' MATERIALS • SHEETMETAL EXISTING SIGNS • 1 ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED..: YES ADMINISTRATIVE EXCEPTIONS.: N/A PERMIT FEE: $ 25.00 �\ 1 APPROVED BY: (A\-/N--- �`,' - _ ` ✓�/`�i�,G� DATE: 09/22/94 () . l bO gue- -cc) LCD N C- - PE P-\^(\ • • Permit No_ 5c-; CTIY OF TIGARD • - SIGN PERK C APPLICATION The applicant hereby applies for a permit for the cork indicated or as shown in the . acccmpanying plans and specifications. SIGN' LOCATION ADDRESS: iS 411 Do (1 1424 ' /J.., i . ZONING: NAME OF BUSINESS: 6h(2.4 APPLICANT /AGENT: 14 UA4Qeij.€41 CW C 1PAN1: PHONE: Cp Zo-e o� ) The City of Tigard - in poses an annual Business Tax which must be kept cement on all persons doing business in the City. Do you presently have a cement business tax? YES . ( ) NO ( ) U.L. Label t PROPOSED SIGN: (Check as many as apply) PERMANENT ( FREESTA DING FREEWAY ( ) T 1 ORAR ( ) FMLL ( ) ELECTRONIC ( .) OMER ( ) BILK ( ) BALLOON ( ) SIG 4 Dfl1E SIONNS : (D X I I EXPIRATION DATE: '1CTLAL SIG I AREA (Sq. Ft.)) (o (r WA EA LZ AR (Sq.. Ft.) : 0 - WALL FACE: HEIGHT (Ft) : 20' PR3TECT ON EPai WALL: 0 ITIay N TIQN: • YES (/ ) NO ( ) TYPE: h '. COPY: 3k-0-11 " UL)/ vT-t t°t }PG -4- p C2 _ PA, , , , �'�S MATFRTAT S. s L C e_��1�1 ficGr� — Le y / - -�.�Za1 - EXLSTfl STGZS: _ 4c. k' ?cf- M el- eye fi,71 EXC EP ICON: N/A ( ) APPROVED ( ) HOW N[XH . � AREA ( ) HEIGHT ( ) COMMENTS: PLANNING DEPARDIE6Nir All sign permits rust be accompanied by a sca 1.e Permit Fee: C� . G U drawing and plot plan_ If work authorized under Receipt No: c \ a_5( a sign permit has not been completed within ninety • • •roved : : ( days after the issuance of the permit, the permit t Date: CC - Z - Gl"I shall became null and void. ELECTRICAL, PERT/ I CERTIFY THAT I AM THE RECORDED OWNER OF 'II-[E RD�UIRE D: YES fV) NO ( ) PROP7Y OR AN AGENT AUTHORIZED Y THE OWNER. 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