SGN1993-00170 Permit No. -5 l J t3 17c
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: i�'«mt•'nd�9 � - - G ! C/
s C) -a. AiCL
TAX MAP: c LOT NO : ZONE:
NAME OF BUSINESS: L P Z'S S(7 ` CGsS(c C+?
APPLICANT /AGENT: COMPANY:
— PHONE:
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) BANNER 01
FREESTANDING ( ) BALLOON ( )
- SIGN DIMENSIONS:
/ l EXPIRATION D TES:
TOTAL SIGN AREA (Sq. Ft.) I'7- (1) �l z
HEIGHT: (Ft.) (2)
ILLUMINATION: YES ( ) NO ( ) TYPE: (3)
COPY: -
MATERIALS:
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: /0 °' scale drawing and plot plan. If work
Receipt No: ?3 ,Z�F r/ c/ authorized under a sign permit has not been
Approved By: //1 completed within ninety days after the
Date: z / O--a 9- ? 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
Ole
OWNy.
BUILDING PERMIT
REQUIRED: YES ( ) NO ( ) ••
lican 's Signature
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Address
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Phone
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