SGN1991-00145 Permit No. S6/1) 9 - %4,S
CI`T'Y OF TIGARD
SIGN PERMIT 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;aD
G:
AP
NAME OF BUSINESS: / . ! t! /.. ,lL .
APPLICANT /AGENT: FS- }�9�5 n / „� COMPANY: , r�-iA.c.9 v ...c/6ti1 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 (X) NO ( ) U.L. Label # Nrk;
PROPOSED SIGN: (Check as many as apply)
PE1ANENT (N FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL ( >c) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: ! C " / 7'x " EXPIRATION DATE:
TC7TAL SIGN AREA (Sq. Ft.): G ' -
WALL AREA (Sq. Ft.): ? mrm
WALL FACE:
HEIGHT (Ft) : /7
PROJECTION FROM WALL: K; 0 N C
r LL ,1 rNATION: YES ( ) NO (X, TYPE:
COPY:
MATERIALS: 4f;..--.1..47-7A---77m
EXISTING SIGNS: n1 r
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCHo
AREA ( ) HEIGHT ( )
STS:
-- PLANNING DEPARTMENT All sign permits 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 PELT I CE TIFY THAT I AM THE RECORDED OWNER OF THE
REQUIRED: YES ( ) NO ( ) PROPIeJM OR AN AGENT - ,AUTHORIZED BY THE OWNER.
BUILDING PEST % Afr, .
REQUIRED: YES ( ) NO ( ) Applicant's ignature
cp /BKMPERTT Address Telephone
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