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SGN1997-00159 SIGN PERMIT APPLICATION ,A,,„, �,,,,,,, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 CITY OF TIGARD GENERAL INFORMATION {PLEASE PRINT CLEARLY) Sign Address /Location: / 6 6E0 , S l.. r ? J i lI ei a . J 0 9- y FOR STAFF USE ONLY Name of Tenant/Business: g Ji@, I 1-t,/ ./zt t,u, c,r,,,.4-S Address: P a S a.� ©v f' Date Received _ ' - 9 /- n � f Received By a /40 Applicant/Agent/Contact Person: 1�c4l c56 / t'y� -• Sign Company: /]ley(( .5-g[;. Go. e '0/2c Phone: cie ;,',)c e Permit No (s : 8r — ,� S tJ far 11n.4 /4. Al - Perm Fee Address: City: tir Stater 2 Zip: '9 old..? R No -~ 07 ► 6 c Approved By Sign Company C.C.B. #: 0 6 ci 01 :;Date of Approval /1 i -9 7, Expiration Date: /- 3 b Pi 'Expiration Date' c. 1 ? -' q City of Tigard Business Tax #: Zoning (or) Expiration Date: Metro Business License #: Oo--= tr / $ Expiration Date: /. . / ciB Electrical Permit Required? YesZr No ❑ Proposed Sign: (check as many as applicable) ''Building Permit Required? Yes ❑ No Permanent gl Freestanding Freeway Rev :12127/98 I:kxiirpinlmasters\spg doc 9 ❑ y ❑ Temporary ❑ WaII El Electronic ❑ Other ❑ Billboard ❑ Balloon ❑ : - 13, I' /1 Cj 7 Q 4 /5 . 7 I � v5 - 6 ,, Sign Dimensio Total Sign Areas (sq. ft , y....__ REQUIRED SUBMITTAL ELEMENTS Total Wall Area (sq. ft.): / f tJ f Direction Wall Faces: (circle one) N S e W NE NW SE SW ❑ Completed Application Form Height (ft.): /6 ' ❑ Site /Plot Plan Drawn to Scale Projection from Wall: S' r' (2 copies, 3 if a building permit is required) Illumination: Yes 4 No ❑ Type: Internal (2 oos External ❑ ❑ Elev Drawn to Scale (2 copies, 3 if a building permit is required) U.L. Label #: _� ❑ Applicant's Statement Copy: -d I ` i"y 7" AUed i L 11 4 Fee (Permanent Sign, any size) $50.00 A F_N(n , AC f y 1�i C eta rtltti ihotel ❑ Fee (Temporary Sign) $15.00 Materials: Are there any Existing Signs at this Location? Yes ❑ No ❑ I certify that I am the recorded owner of the If yea a Ilst of all sign dimensions must also be submitted] property an agent authorized by the owner. NOTE:' If work authorized under a sign permit has not been ! 4. completed within ninety days after the issuance of the L permit, THE PERMIT SHALL BECOME NULL AND VOID. Applicant's Signature 1 List any VARIANCE OR OTHER LAND USE ACTIONS to be considered as part of this application: APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the "Required Submittal Elements" box. (Detailed Submittal Requirement Information sheets can be obtained, upon request, for all types of Land Use Applications.) THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property. • If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so acknowledge that any permit issued, based on this application, may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application, including the polic),:s and criteria, and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subject property. DATED this day of , 19 I I Owner's Signatur Owner's Signature Owner's Signature Owner's Signature 2 / 1 f .i I ) . t I 1.4-7 If I I T.i. ..,....-- • < II 1 ' ...3› ...,:. ) , if _ , • 3--- ---- i . A 11 1 CI 11 1 ' v . fk.: . ' ,q vr .. ',.i- ■‘ 1 • t t . ' "t • _ 111 li t ' Ti- ;vt ca.. . .., . ., elm —wf .., 1 UN rirt . cs> ft' tt ‘""-----. ,... ...t , ,..... , ,.. , it- I ' , 1 ' — - —...-----i . 1 CITY OF TIGARD A pprove d.................................................. Conditionally Approved... ........................... . : 1 , 1 For only the work described in: 1 PERMIT - "I — ---- --i'— See letter to: Follow ............................... . .., , qach ........................... ...... - . st. armress ItisszD - 791' A-t)(---- .. a ) I ' Date: ji_ t z ..- .... 4. 11 l --- - t. ^ .... ' ' Fidelity Investments 16800 SW 72nd Ave. Tigard, OR. 97224 • 45' -6" ■ FIDELITY Lo INVESTMENTS 2' -6" 5 -0 SCALE : 1/8" = 1' Unregistered Shareware .. r " • • ,R•• I • • • • • —• . .. - I I .!.*:. ii:. , t - .t ... leter ► - -.r_ • 1: ... Mill: am . - . [111111811 ° � I I .. O • • .. I _ MI • . • . • -- :: , ,.... i g 6 ',IT!: i • ,.. • I 1 L. ■: . ® ® o I e' r r. • ® will . / — . t a ■, ® ® u ' ■■ j a\s' is 114,0000 033 • .... • I — T __ •• / • _ . 1 — • • • • • •