SGN1995-00018 Per ra t NO. 56t-A/ 95
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit far the work indicated or as shown in the
accompanying plans and V
/ specifications.
SIGN LOCATION ADDRESS: 1 C- `j� 4 �' / F,d 0 ZONING: R 4-4 -
NAME OF BUSINESS: l 1 L1 l�"y (/ G'l/lAi (Z/4 C ( (At
APPLICANT /AGENT: 4 Q Jfa1ThrtipNy: PHONE: J ` 6 " o f
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: (Check as many as apply)
PERMANENT „ l in k FR NDING ( ) FREEWAY ( )
TEMPORARY I MALL ( ) ELECTRONIC ( )
OM ER ( ) BUIEC RD ( ) BALLOON ( )
SIGN DIMENSIONS: L Y - 3 EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : .(. - 3 - /6 - Q
_ __= �::
�;r 't5J:lEeI
` J: � -'pia = '�. _�`�IGr�'_'- _ _- ^-fi.,
COPY: /VD 63 - 150(,1 i 0 r �- q1 t 14 tAy Vr-e - Jt't
MATERIALS: uo o a I
EXISTING SIGNS: CO (AAA , __O J I7 " `
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
(X:
PLANNING DEPARTMENT All sign permits must be accompanied by a scale
Permit Fee: / v drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been completed within ninety
Approved Bv: W - T. days after the issuance of the permit, the permit
Date: 3 -/'2 - q5" shall become null and void.
ELECTRICAL PERMIT I CERITEY THAT I THE RECORDED MINER OF THE
REQUIRED: YES ( ) NO rr ( ;' , , e : o' • • • . . . o .1 •RIZED BY TME OWNER.
BUILDING PERMIT �—� �/ / �D] v
REQUIRED: YES ( ) NO (c' Applicant's Signa• l e
( D ,h ) W 2 7/6r
/
Address G r T elephone
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