SGN1998-00135 •
SIGN PERMIT APPLICATION
hAlki N ,I 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: - 75 - ex) 5 W i, Trri 0u 7-,<,/ Rd.
FOR STAFF:USE ONLY.:
Name of Tenant/Business: l.)3 /NCO F-COID (C ud3 c^ca OD)
Date' .
Address: - 75:%%0 w DP�7MO U rd t/.5-/..9--.
Applicant/Agent/Contact Person: ✓ 1 Lt.-Eft -- Received By: .==
Sign Company:VAIIJCPtiVe-� -- i'J x 3 -8773 Permit No.(s). 5('999 q--if — 0/35 —
Phone: '�`�
` /6 - , q � Permit Fee:
Address: tl�
Receipt No Jq -- TIU U . -
City: U PI/W-0 ea State: ( M I A — Zip: 4S COWS
__ ��1 / Approved :By:
``
Sign Company C.C.B. #: to S l Date of Approval: jQ -,ZQ -r�.
Expiration Date: 1/- a E Date:
City of Tigard Business Tax #: :Zoning: �d
(or) Expira j n Date: g C - `-�
Metro Business License #: --p ? -3 -'
Expiration Date: ( f q'
I i f Electrical Permit Required Yes ❑ No.
Proposed Sign: (check as many as applicable) (, � t 4 __- f._ Bu t ild Permi R equired? Yes. ❑ • No E---
Permanent Freestanding ❑ Freeway ❑ Rev 1212 i 1curpin\masters\spa.doc
Temporary ❑ Wall csL Electronic ❑
Other ❑ Billboard ❑ Balloon ❑
Sign Dimensions: 5 Ic.57b'i-
- Total Sign Areas (sq. ft.): -7 33 REQUIRED SUBMITTAL ELEMENTS
Total Wall Area (sq. ft.): ri&j
Direction Wall Faces: (circle one) N C) E W NE - NW . SE SW Completed Application Form
Height (ft.): -$ f [7 Site /Plot Plan Drawn to Scale
a/
Projection from Wall: (2 copies, 3 if a building permit is required)
[7 Elevations Drawn to Scale
Illumination: Yes ix No ❑ Type: Internal gi External ❑ (2 copies, 3 if a building ( p g permit is required)
U.L. Label #: ' L t STLlb
EK Applicant's Statement
Copy: I YVCO SODS is/Fee (Permanent Sign, any size) $50.00
Materials: Fesi., ,t t 4 af'd ❑ Fee (Temporary Sign) $15.00
Are there any Existing Signs at this Location? Yes kl No ❑ I certify that I am the recorded owner of the
If yes, a list of all sign dimensions must also be submitted] property .r an went authoriz -. by the owner.
NOTE: [> If work authorized under a sign permit has not been .,- i
completed within ninety days after the issuance of the A� j .114 , - r ■
permit, THE PERMIT SHALL BECOME NULL AND VOID. Applicant's Signature
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