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SGN1991-00150 ih Permit No. Q ( - /-6 CITY OF TIGARD SIGN PERNIIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: O ' / : NAME OF BUSINESS: ( 1). L[/ . ( /? / 21 (/ a/LL_ APPLICANT /AGENT: 7:30 P r h/� COMPANY: a- 4714 - v .I /n!a PHONE: Z - y1'rt� 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 96 NO ( ) U Tahel # Nno . PROPOSED SIGN: (Check as many as apply) PERMANENT 60 FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL (C) ELECIRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: 1 0 " / 702 a EXPIRATION DATE: It717AL SIGN AREA (Sq. Ft.) : 6 ' WALL AREA (Sq. Ft.) : ,p WAIL FACE: -S HEIGHT (Ft) : /S PROJECTION FROM WALL: ki o ni e. I LIIINATION: YES ( ) NO (A. TYPE: COPY: MATERIALS: =4-1 rn -i-,Ai FASTING SIGNS: _ ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH . % AREA ( ) HEIGHT ( ) COMMENTS: -• PLANNING DEPARTMENT All sign permits mist be accompanied by a scale Permit Fee: drawing and plot plan. If work authorized under 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 PERMIT I CERTIFY THAT I AM THE RECORDED C NER OF THE REQUIRED: YES ( ) NO ( ) PROP: :u OR AN • e10 • - ZED BY THE OWNER. BUILDING PERM LT `_/i t REQUIRED: YES ( ) NO ( ) Applicants ignature AC/ 4C_ ?O' e -a U- cp /BEMPERM' Address Telephone N:\WCPD\COMDEV\ Z�� _ «� S f-- 6 -0 C I A EC _1 F o A Wo Ch RIP L 1 5 ma) - DosiOE..49 rrAorJr MoUNTEP (NJ 51&AJ 0/1/vp ALL CUT OUT / " T7//CR STYROFOAM WITH BRIGHT CLEAR (siLVFR) vvRISCog rAC6S. " N ), W. CARPET CARE - 6" tit6.11 ALL E PAINT bLACK, 4. • CARPET CAf • orstoN PflOPOSAL ron 1 1;;, SCHOILS F31,)10 c &5 &A)TER visAy - ri&Ago ev -- /"P-0"1 - "gile46/ I p4R511110G ,„,-, ,„ MO NO, Peel% ON•ol PorNand Wagon Of OtO (903) 282-4955