SGN1991-00152 Permit No. S—sz) 9/ -- /,)-
QTY OF TIGARD
SIGN PERArr APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications.
SIGN IOCATION ADDRESS: ( 60 SW )' att. �` 47014G:
, 11 �Gt�Y�
NAME OF BUSINESS: / 1() /I CA 0 / / C O 61
APPLICANT /AGENT: F J 23(shJA CDMEANY: ,C'frArP9 -v S /5ca PHONE: ZFs� - yi'tf_
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. Label i N nk, .
PROPOSED SIGN: (Check as many as apply)
PERMANENT (�) FREESTANDING ( ) FREEWAY ( )
TEMPORARY
GIBER ( ) BILLBOARD () ELECTRONIC ( )
SIGN DIMENSIONS: 10 " • 702 " EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : 6 '
WAIF, AREA (Sq. Ft.) :
MIL FACE: ` S
HEIGHT (Ft) : /.c'
PROTECTION FROM WALL: N o rJ e-
ILL MNNATrON: YES ( ) NO (> TYPE:
DOPY:
MATERIALS: ern 4nA-rr�
EXISTING SINS: nl h uP
ADMINISTRATIVE EXCEPTION: N: N/A ( ) APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
COMMENTS:
-- PLANNING DEPARTMENT IT All sign permits is must 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 PE33' IT I CERTIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO ( ) PROP 3:J° OR AN • 3 0 • ZED BY THE OWNER.
BUILDING PERMIT
REQUIRED: YFS ( ) NO ( ) Applicant s ignature
`r� 3sST
1C 4 Ac74(_. - ?o ev-C‘z,0,/ U�
cp/BKMPE Address Telephone
N:\WORD\COMDEV\ Z��
6 - 0
•
H- cTo li___ 2 1 (c fr imuc21
•
5 /400 Do 50E65 FRot MoO('JTEP ex\I ,/&/J mNp
ALL CUT OUT / THICK STYROFOAM WITH BRIGHT CLEAR (SILVER) vial SCOE VACE S .
" N W. tvt)C.V.0 TECH 1.3(
ALL EPGE5 FAIV-VT
NW- MICRO 7 / 1 7 6 ViS4`12 10-2
nr_sioN C'ROPOSAL FOR
SCH C8MMR /0 r"
FrusAy 7/6,AR0
Fir •
p4R5N/AX,
403S Mt Nellie Strut PaHlent OrogoM Off 13 (9031282-.4559