SGN1991-00179 Permit No. 11 -`/ 7 i
CITY OF TIGARD
SIGN PER4IT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. /
SIGN LOCATION ADDRESS: 0/70 , SW / Wln (�(!,D � 4ZONING: /
NAME OF BUSINESS: ( /J vet)
APPLICANT /AGENT: )01, Fer -SkA COMPANY: k 9t v S /6(C-1 PHONE: ZF -
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 NO ( ) TJ.L. Tahel # N C:J • L L - U n1 .
PROPOSED SIGN: (Check as ny as apply)
PERMANENT (N FREEWAY FREESTANDING ( ) FRE AY ( )
TEMPORARY ( ) WALL (c) EL,ECT1 DNIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: 1 0 '' '/ 7 " EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): G'
WALL AREA (Sq. "t.) :
WALL FACE: W
HEIGHT (Ft) : /_5
PROJECTION FROM WALL: ki o ni e-
UI I IATT'ION: YES ( ) NO (> TYPE:
COPY:
M7ATERIALS:
EXISTING SIGNS: J e „(
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
-- PLANNING DEPARTMENT All sign permits mast be acccmpanied by a scale
Permit Fee: /0" drawing and plot plan. If work authorized under
Receipt No: ?/ - -/ ?0/0 a sign permit has not been completed within ninety
Approved Bv: VA- - days after the issuance of the permit, the permit
Date: // - shall become null and void.
ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO (X) PROP W:4" OR AN • D ' UlHORI ZED BY THE OWNER.
BUILDING PERMIT � � .0',/—
RD WIRED: YES ( ) NO ()Q Applicant s ignature
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cp /P(MPERMT Address Telephone
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