SGN1995-00098 Permit No. 6 15 - 00°1 7
crri OF TIGAI
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work in: icated or as shaven in the
acxpompanying plans and specifications.
SIGN LOCATION ADDRESS: 1305 5(k) h a.1 I 6 I V 4 mum : —
NAME OF BUSINESS: I t (j (J fct ( ,41 r t Tl l: n Ck f •
APPLICANT /AGENT: C h.P.r i c [ r t Q,nd COMPANY: PHONE: (, 31- S 2
The City of Tigard imposes an annual Business Tax which must be kept agent on all
persons doing business in the City. Do you presently have a current business tax?
YES ( ) NO (X) U.L. Label #
PROPOSED SI■: (Check as many as apply)
PERMANENT ( ) FRYING ( ) FRE Y ( )
TEMPORARY (X) WALL ( ) ELECTRONIC RONIC ( )
OILIER ( ) BIIIBO ( ) BALLOON ( )
SIGN DIMENSIONS: X EXPIRATION DATE:
TVTAL SIG1 AREA (Sq. Ft.) : /-1 7 ( - - '
WALL AREA (Sq. Ft.) :
WAIL FACE:
IISIGT (Ft) :
PROTECTION FRCM WALL:
17 f IMDU ION: YES ( ) NO (i') TYPE:
COPY: VO CO Jton , R,b( { C110o1 Jvnt I -3 9 3 - - /„):36
MATERIALS: Vint'
EXISTING
AEMINISIRATIVE EXCEPTION: N/A (X) APPROVED ( ) Have MUCH o
AREA ( ) HEIGHT ( )
COr^ NIS:
PLANNING DEPARTMENT All sign permits must be aoanied by a scale
Permit Fee: \ ,(RC) drawing and plot plan. If work authorized under
Receipt No: C 2-C2 Lo 1 .50 a sign permit has not been ccupleted within ninety
Approved By: 3,10 A- days after the issuance of the permit, the permit
Date: (,, - \ - shall become null and void.
ICAL PER= I CU THAT I AM THE RECORDED CIPRIER OF THE
REWIRED: YES ( ) NO (‘ PROPERLY OR AN AGENT AUITIORIZED BY THE MIER.
BUILDING PERi4IT Ch t -- y)/
REQUIRED: YES ( ) NO (4 Applicant's Signature
C/ia4 den na 7 ifo,d 5 - goSS
cp/13KMPER2T Address Telephone
N: \WORD \CDEV\
?I ACAT1ON BILE SCHOOL
JUNE ZO2'1 9
S
0
SIGN