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SGN2004-00164 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00164 c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/04 PARCEL: 1S135BD-00900 BUSINESS NAME: BEAVERTON TIGARD INSURANCE ZONE: C -G SIGN LOCATION: 09770 SW SHADY LN JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: TOTAL SIGN AREA: 24 sq. ft. WALL AREA: 975 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: new 11 S.F. sign, address sign is exempt MATERIALS: EXISTING SIGNS: 3 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 32.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. 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 ys from validity date. APPROVED BY: PERMITTEE SIGNATURE: DATE: 7/22/04