13045 SW PACIFIC HIGHWAY 13045 SW PACIFIC H'GHVIAY
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SIGN PERMIT APPLICATION Cpp 1 I G AR D Date 19 '`' No. 0332
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 13044., SU Pacific Hi.gloway bleat
Jack C. Clarke
APPLICANT: Owns asses Auti�orized Representative �!r® un Sign Coir
NAME/COMPANY ,,f►�T.f'�llG�i!_;! (,nA!3T Mill lei. Y,5:L-9971
PROPOSED SIGN: Freestanding _ _ ._ Wall _ Projecting - - Other
SIGN DIMENSIONS 'It x 9' AREA 1 .— HEiGHT _ I- WALL AREA
PROPERTY FRONTAGE 249 COST `'1011")-11"). ZONING DISTRICT _ILLUMINATION 1 .0.Ltamps
MATERIAL [,teLal & Plastic _ COLOR
COPY ORB
EXISTING SIGNS: Freestanding Wall _ _ Projecting Other
COMMENTS:
All Sign permits must be accompanied by a scale drawing and plot
plan. If wurk authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit shale
PLANNIh'.G DEPARTMENT beco-ne null and vctd.
Permit Fee J l
Approved Applicant's gna
re
Rt No. 2701 SE 14th Avenue, Portland 233-9971
Renewal Date_ _ _ Address �� Telephone
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Address, of t Perm?t No.
Name of Occupa �� Permit charge_
F,emneativtrfee__ G'_r n.
Gt��.M.t Q11 tai -- Paid by_._
_._
__. Date connected
Type of Building �� D-., Inspection fee__
Service Rate ,' .� Paid .by _ -- - Date_. .._
Contractor Assessment Paid
Size of connection