SGN2003-00078 CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00078
-` r��j 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/15/03
PARCEL: 25101 BB -00301
BUSINESS NAME: SHELL OIL INC ZONE: C -G
SIGN LOCATION: 11834 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: BILLBOARD BALOONS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 21 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary, non - illuminated, inflatable sign. Height restricted to 25 feet. 1st
temporary sign. Valid 4/14/03- 4/24/03.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 da from validity date. �}
APPROVED BY: "
PERMITTEE SIGNATURE:
DATE: 4/15/03 \ \\
04'10 16:13 FAX 50359 1090 CITY OF T1(ARD 'Li w""
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File #.: 5c k) a o o3 -- o bo .78 1 . Ca';e'# I
[4" —14 �0 3 } gy j CA I Rd eipt • #t.t �3 �y' 1 pa te 'l A pp lication c omplete 1
Date . . . ...
TYPE OF PERMIT YQIJ ARC APPLYING FOR
ID Adjustment/Variance (i or li) C'j Minor Land Partition (II) D Zone Change (III)
0 Comprehensive Plan Amendment (IV) 0 Planned Development (III) 0 Zone Change Annexation (IV)
L I Conditional Use (III) [] Sensitive Lands Review (I, It or III) 0 Zone Ordinance Amendment (IV)
0 Historic Overlay (II or III) 0 Site Development Review (II)
0 Home Occupation (II) [; Subdivision (II or III)
LOCATION hvFitxt YK()PU•tU AL I 11.4 I v LL IJK i dress M available) v
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I TAX MAtrts - !1'X1.01 NOS. 1
FTOTAL—STITIVE— . [LUN1NG CLASS1rILAI ION
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*When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in
possession with written authorization from the owner or an agent of the owner. The owners must sign this application In the
space provided on the back of this form or submit a written authorization with this application.
• -• -• • s•'a- ease •= spe c
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A?PI.iG<.TtC(NS 4�� "BASIC SUBMITTAL, REQUIREMENTS" IQdFOD�M�9TOJM SiilElE'r. ED SU811rriCi ELEMENTS AS •
DESCRIICED IN Y
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04/10/2003 18:13 FAX 5035081960 CITY OF TIGARD 0003
THE APPLICANT SHALL. CERTIFY THAT:
s If the application is granted, the applicant shall exercise the rights granted in accordance with the
terms and subject to all the conditions and limitations of the approval.
s All 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, map be revoked if it is found that any such statements are false.
s 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(s).
SIGNATURES OF EACH OWNER OF THE SUBJECT PROPERTY ARE REQUIRED.
Owner's Signature Date
-
Owner's Signature Date
Owner's Signature Date
Owner's Signature Date
Owner's Signature • - Date
7 f
Appilcant/Agent'Rep esentativ - : Signature Date
ppflcantJAgen epresentative's Signature Oat
E'd 9T9T- GEt'(EOS) SEE# 0 - 10 c1sTITH eOS =8O 60 - bT -1d1:3
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c•-nly the work as_, In
L NO. .Si .t v .200;•-- 0 7 9
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CITY OF TIGARD 4/15/2003
13125 SW Ha11 Blvd. 1:18:00PM
limdto Tigard, Oregon 97223
k (503) 639 -4171
Receipt #: 27200300000000001487
Date: 04/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00078 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2003 -00079 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check BILLBOARD BALLOONS KJP 2845 In Person 30.00
Payment Total: $30.00
•