SGN1998-00015 • CITY OF TIGARD
, 94, 1i
DEVELOPMENT SERVICES SIGN PERMIT
PERMIT #: SGN98 -0015
DATE ISSUED • 01/30/98
PARCEL • 2S1O2AA- 00490
ZONE • CBD
JURISDICTION...: TIG
BUSINESS NAME..: WHITE RHINO COFFEE
SIGN LOCATION..: 12085 SW HALL BLVD
APPLICANT /AGENT: WHITE RHINO COFFEE CO
BUSINESS TAX NO:
SIGN:
PERMANENT ( ) FREESTANDING (Y) FREEWAY ( )
TEMPORARY (X) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS • 2'X3' DBL SIDED
TOTAL SIGN AREA • 12 sq.ft.
WALL AREA • 0 sq.ft.
WALL FACE (DIRECTION): NA
SIGN HEIGHT • 3 ft.
PROJECTION FROM WALL.: 0 in.
ILLUMINATION NON
DESCRIPTION OF SIGN: "Espresso Cafe" To be posted from 02/02/98 through 03
/04/98
MATERIALS • WOOD
EXISTING SIGNS • 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED..: N
ADMINISTRATIVE EXCEPTIONS.: N/A
PERMIT FEE: $ 15.00
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved
approved plans. A sign permit shall expire 98 days from approval date.
A temporary sign shall expire 38 days om approval date. A balloon sign
shall expire 18 days from appr. e.
' —∎
APPROVED BY:
PERMITTEE SIGNATURE: F?li1!is I/
DATE: 81/38/98
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SIG P RMIT APPLICATION
�! rn ^NRCilii 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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CITY OF TIGARD
GENERAL INFORMATION (PLEASE PRINT CLEARLY}
Sign Address /Location: j .D 5vV HCtL&- DIvct• <
i l & , rd , op_ Q`7lla ,FOR STAFF U O
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Name of Tenant/Business: -' �� ��L �)' NG (�' � C.o
Data~ Received; ;.
Address: I ) `4 .S k) LC4,'v1 S l) C t ( U L -Gt, e. � ,�.
Applicant/Agent/Contact Person: r( r b a- C,:v S tC I 110 0 K
Per Received By
Sign Company: VI IA Phone: mit No ($ ; � '
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Address: Permit Fee
Receipt" Nb
City: State: Zip:
Daate a;P
Sign Company C.C.B. #: Apo�t3t
Expiration Date: . Expiratio Date t .
City of Tigard Business Tax #:
(or) Expiration Date: Zoning. ':
Metro Business License #:
Expiration Date: Electric p ermit Required? Yes Q No
Proposed Sign: (check as many as applicable) Building Permit R equired? Yes ❑ No '
Permanent ❑ Freestanding 0 Freeway ❑ Rev'E i:curpkilrnasterssspa.doc
Temporary 15I Wall ❑ Electronic ❑
Other ❑ Billboard ❑ Balloon ❑
Sign Dimensions 2 , )( - Y S —
Total Sign Areas (sq. ft.): 0,‹ REQUIRED SUBMITTAL ELEMENTS
Total Wall Area (sq. ft.):
Direction Wall Faces: (circle one) COI V E W NE NW SE SW ❑ Completed Application Form
Height (ft.): ❑ Site /Plot Plan Draw to Scal .
Projection from Wall:
(2 copies, 3 if a builds ... ••• required)
Illumination: Yes No Type: Internal ❑ Elevations Drawn to Scale
❑ (� yp ❑ External (2 copies, 3 if a bu permit is required)
U.L. Label #:
❑ Applicant's Statement
Copy: USpYP5 o ( ❑ Fee (Permanent Sign, any size) $50.00
Materials: Il015tYlt.. Et Fee (Temporary Sign) 418700
Are there any Existing Signs at this Location? Yes ❑ No
I certify that I am the recorded owner of the
If yes, a list of all sign dimensions must also be submitted.) property or an agent au thorized b the owner.
NOTE: Q If work authorized under a sign permit has not been rik) V #, completed within ninety days after the issuance of t h e
permit, THE PERMIT SHALL BECOME NULL AND VOID. Applic nt'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 policies 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
Owner's Signature Owner's Signature
Owner's Signature Owner's Signature
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Approved ----------------------------------- I n' OF TIGARD
C onditionally Approved . .................... (X) For only the work So e t
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