SGN2019-00126 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2019-00126
COMMUNITY DEVELOPMENT Date Issued: 11/21/2019
TIG 4%1Z1-)
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S 101 AB90121
Jurisdiction: Tigard
Name of Business: PS Dental
Business Address: 12017 SW 70TH AVE
Applicant/Agent: Sepehri, Parisa
Work Description: One(1)24-square-foot banner sign.Valid from 11/21/19 to 12/21/19.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions:
Total Sign Area: 24
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $72.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature:/ /- .-i P�
RECEIVED
City ofTigard NOV 2 1 2019
1111 .
" COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
TIGARD Temporary Sign Permit AppliCatlonPLANNING/ENGINEERING
SITE INFORMATION Z�
Address:ia.°i 3 �%/1I Ale... City/State: (5G'rdt Zip: / "7-a-).-3
Tenant/business name: e-DP/t Zone: TM IA-
APPLICANT INFORMATION
Name: e.64a- -f ira el. ,ADDS
Mailing address:IA�fr (. 41'46 City/State: ��� i - Zip: 17 Q.0)-3
Phone: (6b3) 544" - Email: cirsdritri0 fS Cleillat.c441,4;(14.S.C.a1 n
Applicant's representative: C�Z��� `���
Phone: C5/3� 30' sb 1-3 tW Ciein. dori 5kth2/'ut- 00-,YIQc.e. ,
PROPERTY OWNER INFORMATION 4°) Same as applicant
Name:
Mailing address: City/State: Zip:
Phone: Email:
SIGN INFORMATION X
ElBalloon Sign Banner Sign or ❑ Lawn Sign
Install date: (Valid for 10 days) Install date:A1501464.-b4.- - X19 (Valid for 30 days)
,,``
Sign dimensions: Sign dimensions: - x 6
Sign area: Sign area: cal/ ` •. f
I am the property owner o Tam eligible to initiate this application,as provided in the Tigard Community
De - .'.ment Cod- To I : best . 'my knowledge,all the information provided within this application package is
co • - e and ,cc. ate. .
App, . signatur: � Print name Date
�a- 1. , S tr lir/ 9
ro. wner's signa j►, Print name Date
*Thperty owner must sign this application or submit a separate written authorization when the owner and
applicant are different people.
Case No: q' ('�"�1 pplicatio fee: Received by: D e: 7
Approved b : /�-'S Date: li Z E iration date: •2-
Pp yExpiration
City ofTigatd • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 oft