SGN1995-00139 C2 4
Permit No. `_'lets
CITY OF TIGARD
TEMPORARY SIGN PERMIT
The applicant hereby applies for a permit for the work indicated or as shown in
the accompanying plans and specifications.
SIGN LOCATION: 1 5 Th 4 b'i'ZDc(I c n
TAX MAP: IS( 31Q DC 0Z-et LOT NO: ZONE: C . ( PD)
NAME OF BUSINESS: u /y
APPLICANT /AGENT: / t COMPANY:
PHONE: 5
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 #
PROPOSED SIGN: Off C Q NY'
TEMPORARY ( ) BANNER ( )
FREESTANDING ( ) BALLOON (
SIGN DIMENSIONS: �� / Q EXPIRATION DATES:
TOTAL SIGN AREA (Sq. Ft.) (1)
HEIGHT: (Ft.) (2)
ILLUMINATION: YES ( ) NO ( ),) TYPE: (3)
COPY:
MATERIALS:
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
********************** * *** * ** *** * ** ** ** ** *** * ** **** *, tit *** * ** *** ** * ***** * *** *****
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: scale drawing and plot plan. If work
Receipt No: authorized under a sign permit has not been
Approved Bv: completed within ninety days after the
Date: issuance of the permit, the permit shall
become null and void.
ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF
REQUIRED: YES ( ) NO ( ) THE PROPERTY OR AN AGENT AUTHORIZED BY THE
OWNE16.
BUILDING PERMIT U
REQUIRED: YES ( ) NO ( ) Applicant's S'gn to e
Address
5 qtr -O q 7»
Phone
bkm /TSPform