SGN1995-00146 0 3 /�� f
Permit No. ✓ ` `�L 0/ (-)4
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. ',11 L
SIGN LOCATION ADDRESS: QW
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! • . 1 . 604 - 4 R/ ZONING:
NAME OF BUSINESS: PA L61
APPLICANT /AGENT: ffia.A ,[ ?ZOS COMPANY: _/ _ / ,�._ PHONE:
The City of Tigard imposes an annual Business Tax 'c ch 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 # f 2 4cCi g(o 3 & - 2C-=4?
PROPOSED SIGN: (Check as many as apply)
PERMANENT (v' FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (,,4 ELECTRONIC ( 4
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: /0 1 x70 ( 6 ,14
EXPIRATION DATE:
I TAL SIGN AREA (Sq. Ft.): /
WALT, AREA (Sq. Ft.) : l
WALL FACE: 56U T -k
HEIGHT (Ft):
PROTECTION FROM WALL:
ILLUMINATION: YES ((4 NO ( ) TYPE:
COPY: 14 1e/)rX ,(1)/ In
MATERIALS:
EXISTING SIGNS: /) IL CD'1:`gEauplyi
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT All sign permits mast be accompanied by a scale
Permit Fee: 3 3.00O drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been completed within ninety
Approved By: days after the issuance of the permit, the permit
Date: shall become null and void.
ELECTRICAL PE MIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES (V NO ( ) PROPERTY OR AN AGENT AUTHORIZED BY THE OWNER.
BUILDING PERMIT C C b/ /
REQUIRED: YES ( ) NO () Applicant's Si ture J ,�
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cp /BKMPERMT Address ,3/ ,p0.4` Telephone
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THIS DESIGN AND ENGINEERING IS SUBMITTED SOLELY AS A PART OF OUR PROPOSAL ANO IS TO REMAIN PROPERTY OF MARTIN BROS.. INC. AND ANY OTHER USE HEREOF IS PROHIBITED
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