SGN1995-00012 .
Permit No5 4 q5
4111
CITY OF TIGARD
S IGN PERMIT IIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accampanying plans and specifications.
SIGN LOCATION ADDRESS /z `l ,5.2) ZONING: (f7- f
NAME OF BUSINESS: Z --tA a
c
APPLICANT/AGENT: • �:o- CPANY: per: 9' 6 767
The'City of Tigard imposes an annual Business Tax which must be kept current on all
persons
( doing business in the Ci Do you presently have a current business tax?
YES PROPOSED SIGN: (Check as many as apply)
P ( ) FREESTANDING FREEWAY ( )
TEMPORARY (fry %NM ( ) ' ELEC'I IC
Or��R (+ ) =BOARD BARD ( ) BALLOON ( )
( )
SIGN DIMENSIONS: ,2 3 w X 1 f S L � E XP RATI
TOTAL SIGN AREA (Sq. Ft.): �/ • .S
GALL AREA (Sq. Ft.): 0
FACE:
(Ft):
PRUTECrIION FROM ALL.
U TICU: YES ( ) NO ( ya) TYPE:
//
COPY: /PRE. Fiber (gcd --iok . - (� Lr4 -�f� -Jr- Qc%i'�1(�l f14 �'/
G 'J
MATERIALS: LJ
EXIS I SIGNS:
• ADMINISTRATIVE EXCEPTION: N/A (.I-r ( ) ITh1 MtUI
AREA ( ) HEIGHT ( )
CtMMFNrS:
PLANNING DEP •_ ' All sign permits must be aca®panied by a scale
Permit Fee: is Q drawing and plot plan. If work authorized under • Recei• No: a sign permit has not been completed within ninety
• It,. • = : r angy / days after the issuance of the permit, the permit
Date: «``- shall become null and void.
ELECTRICAL PEWIT ._ I CERTIFY ¶E ThT I AM THE REX2DED CANER OF THE
REQUIRED: YES ( ) NO (4 PROP 24 • • AN AGENT AITIHCfPIZED BY THE OMER.
BUILDING PERMIT
REQUIRED: YES ( ) NO ) •• S 's ignature p lclSD S Gv. cp /�ERtB' Address Telephone
ne
N: \WORD \Ct DEU\
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968 -6767
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