9117 SW BURNHAM STREET MRAMW
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9117 SW BURNHAM STREET
MGN PERMIT APPLICATION roF TIGARD Date Sept. h M 19 a5_ No. __.0 82�
`The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specificutions.
SIGN LOCATION ADDRESS: 9111 SW Burnham Rd.
APPS (CANT: Owner_ ,.,esW Authorized Representative
NAME/COMPANY �B't'' ----� TeL____ _ _ _
PROPOSED SIGN: Freestanding Wali Projecting —Other
--Other
SIGN DIMENSIONS 2"6"x )()! AREA 15 SQ. fr,•HEIGHT ____ WALL AREA ''•�i 6- Vit•
PROPERTY FRONTAGE50 ft. COST 180.00 ZONING DISTRICT ILLUMINATION "Otte
MATERIAL 11i.1;h I)ensity Sr.vrc►foat+ COLOR fled Ani;
COPY - DURATEEH' --- - — DRS
EXISTGNG SIGNS: Freestanding -- Wall _._ Projecting — Other
COMMENTS: ._—_--
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
li
within ninety days after the issuance of the permit, the permit shall_
PLANNING DEPARTMENT become.null and void.
10.UD
Permit Fee
Approved RTW Applicant's, iS inature r
Receipt Tro.�T— 7 1 9033 5N. Burnham ltd.
Renewal Date rm elephone
Address 9095 S.W. Burnham Permit
Permit charge
Owner Richard & Gary Helmer Connection
Paid by_..H.. &__L. _Co0,;:L uctiga.
Type of building _11
y __.LndR@-�rj&L_7 -Qf f Date connec Led—,L.
Service rate 340- per month Inspection fee .
Contractor A GonstrUsti-QU Paid by "s & As GOW&V Date,
Size of connection--�-- Assessment Paid
Vic 1,
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