SGN1993-00094 Permit No. S64 9.3 -01 L
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: / so) f9/ /7o.)Q ThJi
TAX MAP: /S/ c7 (n ) LOT NO: S I ZONE: C - a
NAME OF BUSINESS: fl) F) Y -( pp k � 1 ,5 F j D n
APPLICANT/AGE- O // _�� // _ � / COMPANY: / /r,y1 dg� Z pi 1 �,51 D
—PHONE: ( '2 L,/
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 #
PROPOSED SIGN:
TEMPORARY ( X) (A )
FREESTANDING ( BALLOON ( )
- SIGN DIMENSIONS: / " EXPIRATION DATES:
TOTAL SIGN AREA (Sq. Ft.) — (1) 4 - -(P- I -- 93
HEIGHT: (Ft.) (2)
ILLUMINATION: YES ( ) NO () TYPE: (3)
COPY: S4- , _ ,, `` MATERIALS: 111,IJt
ADMINISTRATIVE EXCEPTION: N/A ($).. APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
C O I I N T : • /S ! - / : S3x or !PI
i _
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: Wf} scale drawing and plot plan. If work
Receipt No: /,04-iUa authorized under a sign permit has not been
Approved By: VA completed within ninety days after the
Date: 4' issuance of the permit, the permit shall
become null and void.
ELECTRICAL PERMIT / I CERTIFY THAT I AM THE RECORDED OWNER OF
REQUIRED: YES ( ) NO (Y) THE PROPERTY OR AN AGENT AUTHORIZED BY THE
OWNER.
BUILDING PERMIT eyj'J1 ( Wp �,�
REQUIRED: YES ( ) NO ) Applicant's Signature s ' ,'' I
Ad p Ely c� tt) f � � N2e r!
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