9538 SW TIGARD ST w
SIGN PERMIT APPLICATION CI
TIGARD Date , 19__ No.
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: ' SCI
APPLICANT: Owner Lessee Authorized Representative
r NAME/COMPANY Tel.
PROPOSED SIGN: Freestanding Wall Projecting Other
SIGN DIMENSIONS AREA , HEIGHT WALL AREA ;',
PROPERTY FRONTAGE COST.$300.00 ZONING DISTRICT ILLUMINATION
MATERIAL COLORL' " ,
COPY DRB
EXISTING SIGNS: Freestanding Wall Projecting Other
COMMENTS:
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All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
PLANNING DEPARTMENT within ninety days after the issuance of the permit, the permit shall
become/ null and void.
Permit Fee f.=
Approved Applicant's Signature
Receipt No. 635-3390
Renewal Date Address Telephone
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