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1-465 SW PACIFIC HIGHWAY
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Permit Nu. S_F' 86-88
CITY OF IIGARU —�
SIGN PERMIT APPLICATION
The applicant hereby applies for i. permit for the work indicated or as shown
in the accompanying plans and specifications.
SIGN LOCATION ADDRESS: 14465 SWcylic tiwv _ ZONING:C-G (PU)
NAME OF CO"ANY: Roosma Family DentiGtry
APPLICANT/AGENT: Dave Anderson 684-1i291 —
The City of Tigard imposes an annual 1lusines3 Tax which must be kept current
on all p-rsons doing business in the City. Do you presently have a current
Business Tax?
PROPOSED SIGN:
PERMANENT ( X ) FREESTANDING ( )
TEMPORARY ( ) WALL ( X )
BILLBOARD ( )
S?GN DIMENSIONS: _ 1' X}3'
TOTAL SIGN AREA (Sq. ft. ): 8 su.ft. _
WALL AREA (Sq. ft.): 300 sy.fL'. _
HEIGHT (ft): ___NZ�
PROJECTION: N/A
ILLUMINATION: YES ( X) NO ( I
COPY: Family Dentistry -
MATERIALS: Sheetrnetal and lexan —
EXISTING SIGNS: One wooden wall siUrt_�e� carne wall_ Lace:
OTHER PERMITS REQUIRED: YES ( X) NO ( ) _ ElecLciCal
COMMENTS: Siyn will yo on north face --
PLANNING DEPARTMENT All sign permits must be accompanied by a
Permit Fee: , $10.00 scale drawing and plot plan. If work
Receipt No. : 31679 authorized under .4 sign permit- has not been
Approved_yam DS completed within ninety days after the
Date:_5/31/88 issuance of the permit, the per-niit shall
--- become null and void .
I CERTII Y IIIA] I AM 1111 RECORUEU OWNER Of 1111
PROPFRT Y oR AN AGENT Al110RI ZED IIY TIIF OWNER .
Applicant' s Siynat.ure
Address Telephone
OW; bstil
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N? 1474 DAT1I J� ~_J1
11FRMIT 18 GIVEN TOOF
�-
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST RE POSTED ON THE DESCR;ED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLF.TF.D,
PERMIT FEE PAID �.� �.^� TWARD SANITARY DISTRICT
IJP„'
CONNECTION INSPECTED AND APPROVED
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Address_ 144 S.W. Pacific .
Permit No . 1474
Permit charge
Connection fee
Owner 575.0
Paid by
Type of building_ Dental Bldg. Date connected
Service rate
Inspection fee 35.00
Contractor
Westwood Const. Paid by__ _.Date _
Assessm..nt Paid, --
Size of connection_ _
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