SGN1991-00155 Permit No. 9/ -` /Sr
CITY OF TIGARD
SIGN PF11IT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. _ Q
SIGN LOCATION ADDRESS:7€c.1 6 51021%/Y i�l.(/J < Cp /ZZONING:
NAME OF BUSINESS: fad JL (, Q/l.L ,
APPLICANT/AGENT: Pth Pe'r,chpa, OOMPANY: a-iA.(4 ." .f/60 PHONE: Z -
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 (X) NO ( ) U.L. Label # N ck, .
PROPOSED SIGN: (Check as many as apply)
PERMANENT (N<) F'REESTANDING ( ) FREEWAY ( )
TEMPORARY ORARY ( ) WAIL (c) ELE CIRONIC ( )
OIliER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: ( Q '/ 702 " EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : '
WALL AREA (Sq. Ft.) :
WAIL FACE:
HEIGHT (Ft) : /,S-'
PROJECTION FROM WALL: ki o N E!
=UM:NATION: YES ( ) NO (> TYPE:
COPY:
MATERIALS: frn-Fn,-nn
EXISTING SIGNS: n1 h U P
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH o
AREA ( ) HEIGHT ( )
- PLANNING DEPARTMENT NT All sign permits nest 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 PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO ( ) PREP+• OR AN AG a •UTHORI ZED BY THE OWNER.
BUILDING PERMIT
REQUIRED: YES ( ) NO ( ) Applicants ignature
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cp/BKMPERMT Address Telephone
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4131 NE.heft 9!m1 Port W1;10111113 (503)282-4559