SGN1994-00158 Permit No. SLT r V cl(-1
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. -�' ) l
SIGN LOCATION: ,/...)/0./144/7 7 '
. `� `J �/ 5 `� \/ � �' `A Yv\
TAX MAP: LOT NO: ZONE:
NAME OF BUSINESS: /Z `,/.../ L6 2 17'Z(
APPLICANT/AGE ; Av //
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 (7O NO ( ) U.L. Label #
PROPOSED SIGN:
TEMPORARY ()C) BANNER ( )
FREESTANDING (7C) BALLOON ( ) 'frf
SIGN DIMENSIONS: 7 EXPIRATION DATES:
TOTAL SIGN AREA ( • Ft.) (1) ct- a'2,- 9 `i
HEIGHT: (Ft.) (2)
ILLUMINATION: YES ( ) NO ) TYPE: i :i i z ( 3 )
COPY: -
MATERIALS:
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT : sign permits must -be S accompanied by a
Permit Fee: /:- c scale drawing and plot plan. If work
Receipt No: Gi y - `255 `t , C ) a authorized under a sign permit has not been
Approved Bv: I :. within ninety days after the
Date: `•'- - 2-- issuance of the permit, the permit : shall
become . null and . void. - : : ;�: : ..:
ELECTRICAL PERMIT I CERTIFY . THAT I AM THE QED OWNER OF
REQUIRED: YES ( ) MO; (, ) °.:_.. ` '^T88 PROPERTY OR AN AGENT ADTHORIZSD': Bar;
THE
BUILDING PERMIT
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UIRED • YES ( ) - NO (o!) '" i s Signature i' . ); ,1 = = f
- - � �
REQ ican S :ate
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Address
Phone
bkm /TSPform
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