SGN1993-00102 Permit No. S( C7a - D �
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. 45 +a >y
SIGN LOCATION: HC1U . - 0,6(ACl c tcle_ 1340 ` ?u 'HctA.X tfAL4S
TAX MAP: C7-c I (9 LOT NO: / ( ZONE: C
C NC' en
NAME OF BUSINESS: I ITLYT - 1 \ ' IA/Y1 � m1 - ( 0' 0.141.1„)04....
APPLICANT /AGENT•. Pub (,�.�Qk (44 1 COMPANY: /7C C/ /LIST /9}7J C ( »
-- PHONE: '17 I- 0 0-4 (0
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 ( 3( U.L. Label #
.4 A)&) —P c /% - z i-e7J
PROPOSED SIGN:
TEMPORARY ( ) BANNER (
FREESTANDING ( ) BALLOON ( )
- SIGN DIMENSIONS: en . v '�^. ' EXPIRATION DATES:
HEIGHT: SIGN Nt AREA (Sq.F t.) L�4 +. (1) 7 —
ILLUMINATION: YES ( ) NO () TYPE: (3) (2)
COPY: 0 K�, 1"?' i\ ko‘e. tft 1 ■ It ( o e... 2A-25 voc1°'l
MATERIALS: (M U..J.1( {, -V1V\ JY
ADMINISTRATIVE EXCEPTION: N/A ( APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: CU4 scale drawing and plot plan. If work
Receipt No: :.4r %% %' authorized under a sign permit has not been
Approved By: 1/0" completed within ninety days after the
Date: f —,� -- 3 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 ( ) THE PROPERTY OR AN AGENT AUTHORIZED BY THE
OWNER.
BUILDING PERMIT ;(J 1
REQUIRED: YES ( ) NO (v y Applicant ' s 6ignature
Address
Phone
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