SGN1995-00049 Permit No.
CITY OF TIGARD
ems^^("'' SIGN PST APP.MC TICN
• �e applicant hereby apples fcr a permit far the wcrk indicated or as shown in the
accompanying plans and specifications.
SIGN 10CMION ADCPJM: ��r�,.�c 14 44',49 i : co h ,,j,'
NAM OF BUSINESS:
APMCAW/AGENT: h0.Y�ANY: TSG F.r,; .cPHONE: `-
- 344L
The City o Tigard iupoeess an annual Business Tax which must be kept current on all
personsbusiness in the City. Do you presently have a current business tax?
YES ( ) NO ( ) U.L. Label #
PROPOSED SIGN: (Check as many as apply)
PER WMa FREERAY ( )
MPOR-am ( WALL ( ) EIMMMIC ( )
OTHER ( ) BZLE ( ) BALIDON ( )
SIGN DIMWSIONS: EXPIRATION DATE:
TOM SIGN AREA, (Sq. Ft.) :
WALL AREA (Sq. Ft.) :
WALL FACE:
HEIGHT (Ft) :
• PROJECTION FRCM WALL: Wa ( rig c c
n'riMT*rA'i'rON: YES ( ) NO ( TYPE:
COPY:
MAMTRIAT C: lhA$i't- YI i
EXISTING SI
/VvA('
ACMINISTRATIVE EXCEPMON: N/A ( ) APPROVED ( ) HOW M0CH
AREA
CCtMIVTS:
PrANNU G DEAR NT All sign permits must be by a scale
Permit Fee: (o drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been ccupleted within ninety
Approved By: days after the issuance of the permit, the permit
Date: 0shall become null and vaid.
ELE=CAL PEST I COY THAT I AM THE RECORDED OWNER OF THE
RE12U D: YES ( ) NO ( FROPEFMY OR AN AGENT AUTHORIZED BY THE CWNER.
�
BUIM12 G PEM= '
REQ[MED: YES ( ) NO ( Appli 's Signature
444'40 32 ilhl 639- q-71
cP/ffiQMPERMT Telephone
N:\W0RD\0CMDEV\ I� , �,/� 01 17 Zz
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SAME DAY SIGN COMPANY
10120 S.W. Nimbus Ave, Suite C-7
Portland, OR 97223
Phone: (503)620-5147 Fax: (503)639-2430