SGN1991-00149 -
Permit No . '3 9/ - 14�
CI'T'Y OF TIGARD
SIGN PERMTT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications.
SIN LOCATION ADDRESS: J4a 6a Sw / ( Sit MA ZONING:
NAME OF BUSINESS: (/L S / /1 .. jfo T „i (/« / 441 C
APPLICANT /AGENT: Fes` Per&hi," / COMPANY: ams,49 -' s it is PHONE: Z - 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 (K) NO ( ) U.L. Label # Nr, uLl.�r11 .
PROPOSED SIGN: (Ch as many as apply)
PERMANENT (.) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALT, (c) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: ! O " Y' 702 " EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): 6 '
WAIL AREA (Sq. Ft.) :
WALL FACE: S
HEIGHT (Ft) : /S
PROJECTION FROM WAIL: r i o n1 e,
TT r IMrTAT TON: YES ( ) NO (><1 TYPE:
COPY:
MATERIALS: . `rri - nA - r h
EXISTING SIGNS: M PauP
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH %
A R E A ( ) H E I G H T ( )
-- PLANNING DEPARTMENT All sign permits must be acca panied by a scale
Permit Fee: drawing and plot plan. If work authorized under
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Receipt No: a sign permit has not been completed within ninety
Approved By: days after the issuance of the permit, the permit
Date: shall become null and void.
ELECTRICAL CTRIC AL PE T I CERTIFY r.0 Y THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO ( ) PROP3w- OR AN . e'a w' ZED BY THE OWNER.
BUILDING PERMIT
REQUIRED: YES ( ) NO ( ) Applicant s ignature
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cp /BK1PERMT Address Telephone
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