16186 SW 72ND AVENUE ADDRESS:
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i:\records\micrefim\targels\buiiding.doc
SIGN PERMIT APPLV�ATION COF TIGARD Date _ —, 19—_ No.
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: — —
APPLICANT: Owner Lessee _ Authorized Representative _
NAME/COMPANY Tel.
PROPOSED SIGN: Freestanding 110 Will Projecting Other
° SIGN DIMENSIONS — AREA HEIGHT _ WALL AREA . �• ��•
PROPERTY FRONTAGE COST ZONING DISTRICT ILLUMINATION
V, MATERIAL COLOR -- --
COPY DRB
EXISTING SIGNS: Freestanding Wall Projecting Other
COMMENTS: -- ---------
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All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been complete
within ninety days after the issuance of the permit, the permit shall
PLANNINE'.DEPARTMENT become null and void.
Permit Fee
AppreiVed Applicant's Signature
Recei t No
Renewal Date Address Telephone
• '1 N
CITY TIGARD Date19 G
SIGN PERMIT APPLICATION OF ' No. _
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS:
APPLICANT: Owner Lessee Authorized Representative
NAME/COMPANY ,/.!--� " iZ ,. �f t/.1 �C- _ TeL - - - - - - - - -
PROPOSED SIGN: Freestanding _ Wall �1�' Projecting - --Other
SIGN DIMENSIONS )r AREA HEIGH I'� WALL AREA ,
PROPERTY FRONTAGE - COST ZONING DISTRICT —ILLUMINATION
MATERIAL ('S irQ - - - COLOR L7
COPY �2- Y DRB
EXISTING SIGNS: Freestanding I-L - Wall Projecting _ amu'' Other - —
COMMENTS: -
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit f-ee_____ � —
' Approved _ ,Applicanf's���,9�natur
Receipt No.------- -A
Renew-1 Date Aildress Telephone
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