12880 SW SCHOLLS FERRY ROAD 12880 SW SCHOLLS FERRY ROAD
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CITY TI G�A R D 1&,ceniber 3 I 19 r''_ No. 017 0
SIGN PERMIT APPLICATION! OF Datp ,
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specificatiaiis.
SIGN LOCATION ADDRESS: 12880 SW 5cholld kerpv Ltd, T
APPLICANT: Owner—. _ Lessee Authorized Representative o _'tion
NAM[!COMPANY Tel. .
PROPOSED SIGN: Freestanding Wall —__ Projecting .—Other
SIGN DIMENSIONS - 4 1 0 AREA iu __ HEIGHT WAIL AREA . 31.E —_
PROPERTY FRONTAGE COST 90( -OQ ZONING DIS'TRICTC"t' _ILLUMINATION _.
MATERIAL — COLOR
COPY y i�'�A!' 1,A1,, A - --- ----DR
EXISTING SIGNS: Freestanding Wall X Projecting _ .. Other
COMMENTS:
All sign permits mus, be accompanied by a scale drawing end plot
plan. If work author ized under a s+gn permit has not been completed
PLANNING DEwithin ninety days after the issuance of the permit, the permit sha!I
DEPARTMENT-- PAR T become null and void.
Permit Fee
Approved Applicant's Signature r _
Recei—two.--�----
Renewal-Date__ _ Address _ elephone
C17Y OF TIvARD No. 1,540
I 12755 S.W. ASH
f P.O.BOX 23397 tate ? _
TIGARD, OR 97223
Name
�''• L' 'J4_'S 2. '
Address
Lot 'BlocklMap — ��bdivisionlAddress - --^—
Per,nit p's Bldg. Plumb Cash Check
Sewer s Other-S 'iJ Other Rec. By
r 10 a 7e:�9
Acct. No. Ccc^rIDtlon EAmount
10.432 Building Permit i ees _
10.431-600 P himbing Permit Fees
10.431.601 Mechanical Permit Fees —
10-230.501 State Bldg. Tax
10.433 _ Plans Check Fee
10.435 _ Other Licenses f. Permits
30.443Sewer Connection _ Y
30.444 _ Ftuvvcr Inspection _`i _
24-448 Streat Syst. Dev. Charge
25.4_49.610 Parks I Syst. Dev. Charge
25-449.620 Parks II Syst. Dev. Charge
31.450W Storm'Dralnsige Syst. Dev, Charge
10.430 Business Tax— �_ {
10.434 Alarm Permit_ I+
10.227 _Ball _
10.455- Fines - TrafficlMiedlParking
10.230- CPTA TrafficlMisd/Vlc. Asst.
1f)-456 Indigent Defense
30.446.401 Sewer Service/USA
30.448.402 Sewer ServfcelC_Ity__
31.447 Storm Drainage _
40.475 — Bancroft Prli Pymt, _
40.471 Bancroft Int. Pymt__
10-451 Ot er Char es or Services
TOTAL
—� DEPT. �-
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u
SIGN PERMIT APPLICATION CITYOFT!GARD Date 1£ No. 0770—
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS:
APPLICANT: Owner__.___ Lessee Authorized Representative
NAME/COMPANY Tel.
PROPOSED SIGN: Freestanding Wall Projecting Other _
i c5' _ HEIGHT WALL AREA . '
SIGN DIMENSIONS _- AREA 7
_ --
PROPERTY FRONTAGE COST "�-'" ZONING DISTRICT. l 41 ILLUMINATION
MATERIAL _ COLOR
COPY kVA Y /: A; ,�t.;�?.� i � DRB
EXISTING 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
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT � become null and void.
Permit Fee _ _ _ _ _
Approved Applicant's Signature
Renewal Date _ Address Telephone