SGN1994-00143 Permit No.
9L - / /
CITY OF TIGARD
TEMPORARY SIGN PERMIT'
The applicant hereby applies for a permit for the work indicated or as shown in
the accompanying plans and specifications.
SIGN LOCATION: 1 Z 55 S. w' Ai A I ilJ S I /�
TAX MAP: 2 , 2. A LOT NO: go? ZONE: C3 T
NAME OF BUSINESS: I N N ( T (� S / C T- /�/ S Tin A- Cr
APPLICANT/AGENT: 5 7V i-e 3 K O w COMPANY:
PHONE:
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 Y" NO ( ) U.L. Label #
PROPOSED SIGN:
TEMPORARY ( ) BANNER ( )
FREESTANDING BALLOON ( )
(/ /7
SIGN DIMENSIONS: �2 X Lti EXPI/IAT7 DATES:
TOTAL SIGN AREA (Sq. Ft.) ( 8 1(
HEIGHT: (Ft_) y1 (
ILLUMINATION: YES ( ) NO ( TYPE: (3)
COPY: 5 Cr xi 3 / 2 /V 4. 73!0 p
MATERIALS: (((
ADMINISTRATIVE EXCEPTION: N/A (x APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT All sign permits must - beaccompanied.by a
Permit Fee: - a scale drawing and plot plan. If work
Receipt No: ' � L / authorized under a sign permit has not been
Approved By: 11 completed within ninety days - after the
X
Date: - 2//``7'( issuance of the permit, the permit shall
/ / become null - :and. void. -
ELECTRICAL PERMIT ':.. I CERTIFY - THAT.I AM THE RECORDED OWNER OE
REQUIRED: YES ( : ) - NO s 4- PROP - OR AN AGENT AUTHORIZED BY THE
t `OWNER. ' i r x
s
3 1"
BUILDING PERMIT �, 4 s' .y
REQUIRED: YES ( ) _ NO 3. ;T•licant's ,Signature
5 E., J, /i>'t 4 I 5 /..
Address
Phone
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