SGN1996-00157 _
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44 �m�rI � Y CF TIGARD ^'
DEVELOPMENT ������U������
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"�441�� 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171
• SIGN PERMIT'.
• PERMIT #: SGN96-0157'-Y
DATE ISSUED...:--10/17/96
EXPIRATION DATE: 11/17/96
PARCEL.........: 2S102BD-00701
ZONE......^....: C-G
BUSINESS NAME..: TIGARD OPTOMETRIC CLINIC
SIGN LOCATION..: 12785 SW PACIFIC HWY '
APPLICANT/AGENT: TIGARD OPTOMETRIC CLINIC
' BUSINESS TAX NO: 96-3766
___ __ _ = _' ___
SIGN:
PERMANENT ( ) FREESTANDING. ` (Y)- . FREEWAY . ( )
TEMPORARY (X) WALL ( ) ELECTRONIC ( )
OTHER ( ) • BILLBOARD • ( ) ' BALLOON ( ).
SIGN DIMENSIONS......: 2.5 X 4
TOTAL-SIGN AREA.......: 20 'sq.ft. .
WALL AREA............: 0 sq.ft.
WALL FACE (DIRECTION): SE _
SIGN HEIGHT..........: 4 ft.
PROJECTION FROM WALL.: 0 ` in.
ILLUMINATION.........: NON.
DESCRIPTION OF SIGN:. Temporary 2.5 X 4 doublesided A-board sign
MATERIALS............: WOOD/PAINT
•EXISTING SIGNS.......: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED..: N -
ADMINISTRATIVE EXCEPTIONS.: N/A
PERMIT FEE: $ 15.00 '
~~
APPROVED BY: M '
~ A^ 8
PERMITTEE SIGNATURE: �ka�V�ttt ___
DATE: 10/17/96 `
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. s 'T APPLICATION
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CITY OF TIGARD
GENERAL INFORMATION PRE -APP. HELD WITH:
DATE OF PRE -APP.:
)175 sIA P ACA +Wy.
Sign Address /Location: iU . I-A) . Corn((._ CF HtA,, - c q •40 ir.,c(.5ta,
,1- 5..w. iv\ c Ki,,zta 5-r — , , OZ 2_s I 2.13D— 701 FOR STAFF USE ONLY
Name of Business: ( G A41) aPr —CA. kc C L; i t
Permit No.(s): �6 kJ q(.0 O I S
Applicant/Agent: — 7 -- kJZ -)• Hoi-(fz, 0.) Permit Fee: IS °6
Company: r , G/vu) op ,„.e -atc C'i;,,,,c Phone: 5 3q Bel-ig Receipt No.. _ gto "
City: -- 7 - ; G .Aft Zip: q1 9-3.3 Approved By: • �� C.1(►^-
Date: I b —I °ALA
The City of Tigard imposes an annual Business Tax which must be 25/-e-= U0 _ I k _ct (e, cam`(
kept current on all persons doing business in the City. Do you
presently have a current City business tax? Yes ( No ❑ Electrical Permit Required? Yes Q No i
City Business Tax #: q& - 3`)6 6 Building Permit Required? Yes ❑ No
A
Metro Business License #: Rev. 9/3/96 I:\curpin‘masters.spa.doc
U.L Label #:
Proposed Sign: (check as many as apply) I
REQUIRED SUBMITTAL ELEMENTS
Permanent ❑ Freestanding . Freeway ❑
Temporary Ef. Wall ❑ Electronic ❑ ✓ Application Elements Submitted:
Other ❑ Billboard ❑ Balloon ❑
"Application Form
Sign Dimensions: 30 " w I0E_ a - i f 8 i ' 1 1 6 4 [,Owner's Signature/Written Authorization
Total Sign Areas (sq. ft.): 10 07 IAb\2 -Skjej. - 2 _0 96. ( Title Transfer Instrument or Deed
Wall Area (sq. ft.): !J
Wall Face: !Site /Plot Plan (81/2"x 111 ,C a
Height (ft.): Y 2- `' F Ao�. % o roe
(# of copies based on pre -app check list)
Projection from Wall: N/q [ Applicant's Statement
Illumination: Yes ❑ No 14 Type: (# of copies based on pre -app check list)
Filing Fee (Any Size of Sign) S50.00 ea.
Copy: (Temporary Sign ) '4151141141 , a.
Materials: (,V 0 6 0 , _.. . .. r>. r5 //1-/7 _
Existing Signs:
I certify that I am the recorded owner of the
property or an agent authorized by the owner.
NOTE: All Sign permits must be accompanied by a scale drawing
and plot plan. If work authorized under a sign permit has /
not been completed within ninety days after the issuance of ----7.7: w.. 10 (t ( 1 .
the permit. THE PERMIT SHALL BECOME NULL AND Applicant's Si• ature 1 .
VOID. 0
1 $ i (,)
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
*.D.st 600(7,(And ( l -- k69 / 1/1
Owner's Signature ` , 1 , 5 Owner's Signature
Owner's Signature Owner's Signature
2
' IGA RL OP TOM 3T R IC IL:L I IC
PIN YOU iTT YOUR L:W CI TAD
l:iJ 3JV J LL YOUR 1i i•L
9830 SW MC ENZI`
I IG RD OR 97223
50 .3 639 J
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WEnng's
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LD FASHIONED
HAMBURGERS.
August 2, 1996
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Terrance Hohner, O.D. j v
Tigard Optometric Clinic 06)6(i°a.,,\13
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9830 SW McKenzie ` , Ti ard, OR 97223 `\
c , , , , T , Tigard,
Dear Mr. Hohner: e " `
After reviewing your proposed sign (as attached), which you propose to place on the lot of our
Tigard Wendy's restaurant, we agree that you can place it at the corner of McKenzie and Pacific
Hwy. Of course, this is pending approval from the city.
We allow you to place this sign on our lot in the interest of being friendly neighbors. However,
should circumstances, which are as yet unforeseen, require that it be removed, we will require you
to do so unconditionally.
If you agree on the terms mentioned above, you may proceed with this matter with the Tigard
City Hall.
Sincerely, /4,4_
r - t Wellington
Director of Area Operations
GW /cjh
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WENDY'S INTERNATIONAL, INC. / 4000 KRUSE WAY PLACE, BLDG. 3, SUITE #255, LAKE OSWEGO, OR 97035 / 503 - 635 -8875
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Tigard
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OPTOMETRIC
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CITY OF TIGARD
Approved [ Al
Conditionally Approved [ l • CLIENr T /4ARN,,NATURAL MALIN CJNIt
For only the work as described in:. •P,eo,/tGr P1yWoxD SANDWICH $cAED
PERMIT NO. G z'CoNi 110 -&t51 • SIZE: 30 "X 48"
See Letter to: Follow [ 1 • CDLO25: I3WE 15 f', TEAL, ov WN /?E
Attach [ l • DArE; 9 %TAN '91
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