SGN1995-00117 CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SIGN PERMIT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171 PERMIT #: SGN95-0117
DATE ISSUED....: 06/27/95
EXPIRATION DATE: / /
PARCEL.........: 2S102BD-069600
ZONE...........: C—G
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BUSINESS NAME..: QUACKER'S RESTAURANT
SIGN LOCATION..: 12725 SW PACIFIC HWY
APPLICANT/AGENT: FLOYD BERGMANN
BUSINESS TAX NO
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SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS ^ 4' X 4' •
TOTAL SIGN AREA......: 16 sq.ft.
WALL AREA............: 720 sq.ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT..........: 8 ft.
PROJECTION FROM WALL.: 1 in
ILLUMINATION.........: NON
DESCRIPTION OF SIGN:
PERMANENT WALL SIGN — 4' X 4'
MATERIALS............: WOOD
EXISTING SIGNS.......: 4
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED..: NO
ADMINISTRATIVE EXCEPTIONS.: N/A
PERMIT FEE: $ 10.00
APPROVED BY
DATE: 06/27/95
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Permit NO. :(111 q5---o 11 7
QTY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
a plans and specifications. .
SIGNI LEGATION ADDRESS: /2 - ) - ) - .- SCUP�ZG GL • ZONING: L. - a .
NAME OF BUSINESS: QJ.d(1,�
APPLICANT /AGENT: COMPANY: PAys44a-- PHONE: J/ - ' -- ?.1 3?
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons dging business in the City. Do you presently have a current business tax?
YES ) NO ( ) U.L. Label f I / rt
PROPOSED SIGN: (Check as many as apply)
PERMANENT () SING ( .) FREEWAY ( )
TEMPORARY ( ) MIL (;`.) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALI ON ( )
SIGN DIMENSIONS: 4 Cl X 4 cf EXPIRATION DATE:
TOTAL SIG AREA (Sq. Ft.) : J o rp.0o --
WALT AREA (Sq. Ft.).: ,0 X 2_ i it
WAIL FACE: • : r All 0 . ... : FAMSMcam! ! ..',..
•HE t( (Ft) : • AP
PROJECTION FROM WAIL: - .4%6
ILII TION: YES ( ) NO ( TYPE: .
COPY: • / ' -
MATERIATS: V
EXISTING SIGNS: 3 •
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
0:MMENIS:
y
PLANNING DEPARTMENT All sign permits oust be accompanied by a scale
Permit Fee: \ 0.00 $ drawing and plot plan. If work authorized under
Receipt No: 4 \.45-- (---� p(o 1 a sign permit has not been cc�ipleted within ninety
Approved : `� , L),_. days after the issuance of the permit, the permit
Date: tF.2) V==.15 shall become null and void.
ELECTRICAL PEST I CERTIFY THAT I AM THE RDODRDED OWNER OF THE
REQUIRED: YES ( ) NO (') • •• • D. OR AN a AUTHORIZED BY THE OWNER.
BUILDING PIIT I tOV� �'
REQUIRED: YES ( ) NO (-�) Applicant' Signa • . e
R/ BKMPE1MT Address / Telephone
N: \FORD \CUMDEV\
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