SGN1991-00151 * ''
Permit No.
W /57
CITY OF TIGARD
SIGN PERMTr APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. //. �J G
SIGN IDCATION ADDRESS: /4 )hih /64,0 £ / ZONING:
NAME OF BUSINESS: Au. „„„ _ i_
APPLICANT /AGF_NT: 1301, f rgh n." COMPANY: if ftari9 - ' ,C /f f PHONE: ZFS� -
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 (,) NO ( ) U.L. Label # N1 (-)k, LCD n 1
PROPOSED SIGN: (Check as many as apply)
PERMANENT 60 FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (c) E LEX IRONIC ( )
asHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: 10 " 7 702 " EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): G,'
WAIL AREA (Sq. Ft.): ancm
WALL FACE: ,S'
HEIG cm): /,t
PROTECTION FRaq WALL: N o nJ Q_
IL tMENATION: YES ( ) NO (X. TYPE:
COPY:
MATERIALS: -4,r(
MISTING SIGNS: t.J c`: AI P _
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
CATS:
- PLANNING DEPARTMENT All sign permits must 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 Bv: '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 ( ) PROP Dvi• OR AN AG a • ZED BY THE OWNER.
BUILDING PERMIT
REQUIRED: YES ( ) NO ( ) Applicant s ignature
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cp /BRMPERMT Address Telephone
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