SGN1994-00119 Permit No. ' (‘'1L I-1 1 (S
CITY OF TIGARD
SIGN PERMIT APPLICATION
The appli hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications.
SIGN LOCAnal AIXRESS: / 37 v 0 Par q, -ec 7 44/.,()Q` J ZONING: C
NAME OF BUSINESS: ,c-
APPLICANT/AGENT: 6 a COMPANY: Pte: 9,k5-11y0
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons doing business in the City. Do you presently have.a current business tax?
YES ( ) NO ( ) U.L. TaI-r.1
PROPOSED SIGN: (Check as many as apply)
PERMANENT ( ) FREESTANDING
T (L) ( ) ELEX U DNIC ( )
OTHER ( ) BIIBQARD ( ) BALIDON ( )
SIGN DIMfNSICUS: �.( �((�� EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): of 67. Ft, 7- /44 -Gj'y
AIL AREA (Sq. Ft.) :
WALL FACE: -
HEIGHT (Ft) :
PROJEC:TIal FRCM VaLL:
Ir TI : YES ( ) NO ( ) TYPE: -
CQPY: ri E5 t/
MATERIALS:
EXISTING SIGNS:
AMENISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
OCMMENIS:
PLANNING D All sign permits must be aoornied by a scale
Permit Fee: drawing and plot plan. If work authorized under
Receipt No: qv 3 y wo a sign permit has not been completed within ninety
Bv: W days after the issuance of the permit, the permit
Date: I cL shall became null and void.
ELECTRICAL Pfl LT ,, I CERTIFY THAT I AM RECORDED CCZIER OF THE
REQUIRED: YES ( ) NO ( PROPERTY OR AN AGENT AUTHORIZED BY THE OWNER.
BUILDING PERMIT s am) ea‘ ���
REQUIRED: YES ( ) NO C Applicant's Signature
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cp/BRMPERMT Address Telephone
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