SGN2019-00043 IL CITY OF TIGARD SIGN PERMIT
S Permit#: SGN2019-00043
COMMUNITY DEVELOPMENT Date Issued: 05/29/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S103DD00600
Jurisdiction: Tigard
Name of Business: Hands Berry Stand
Business Address: 13770 SW PACIFIC HWY
Applicant/Agent: Hand, Cindy
Work Description: One(1)temporary sign to be used for TUP2019-00010, hands Berry Stand. Dimensions:
4'x3'= 12 square feet per face. Applicant shows that the sign will not be located in vision
clearance area.
Permanent: No Freestanding: No Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: Yes
Sign Dimensions: 4'x3'= 12 square feet per
Total Sign Area: 12
Wall Area:
Wall Face(Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $69.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: (141)4-11-2--
Permittee
Signature: S F� 1Llf
RECEIVED
MAY 292019
City of Tigard CITY OF TIGARD
1111 . M COMMUNITY DEVELOPMENT DEPARTMENT PLANNING/ENGINEERING
TIGARD Temporary Sign Permit Application
SITE INFORMATION
Address: /,3770 5W,tazi 46/-1, City/State: /- /v14 a Zip: 970
Tenant/business name: /14nS 6e/filljta411
Zone:
APPLICANT INFORMATION
Name: (1//N/PJ12‘1y 4/
Mailing address: 4,1S: /, City/State:6/%4d/d$j ',/r 97//3
Phone: ,5453607 (,JO(/3 Email: //Id411,, 0y474tI/a e2y440 'C"iht
Applicant's representative: e! /li 6? 4:44
/ 47
Phone:, 3 3/4'414 el Email: . �/lit,e_ e?S C-74Yee-
PROPERTY OWNER INFORMATION 0 Same as applicant
Name: illa fle i n,
,......,
Mailing address: /3770 51,4-)/6 f/2i7417 City/State: 6%---f Zip:97(r
Phone: Jam'' -k ) -7///1 / �J`•C j/G1�Email: 1/G41'Ti//S e-- 6aG��a�gya11Jce , G�
SIGN INFORMATION ✓
❑ Balloon Sign ❑ Banner Sign or /IP Lawn Sign
Install date: (Valid for 10 days) Install date: Z'/ 7�a/' ' (Valid for 30 days)
Sign dimensions: Sign dimensions: ✓X/7` TRr
Sign area: Sign area: So`G 4.2 4C p2, i, ,'�,/
I am the property owner or I am eligible to initiate this application, as provided in the Tigard Community
Development Code. To the best of my knowledge,all the information provided within this application package is
complet and accurate.
zl.. Cal-1"--1/
fs
App c nt's signature* Prirft name Date
$-ez /4#7fidt-ej
Property owner's signature* Print name Date
*The property owner must sign this application or submit a separate written authorization when the owner and
applicant are different people.
Case No: SG P 2,61 q.-O CC1.3 Application fee: ti Received by: k Date:
- 01
Approved by: c Date: , ---7 q- GI Expiration date: C 30-1 i
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 1
RECEIVED
APPLICANTS MAY 2 9 2019
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assuranalPire4FALl,.�iD
PLNNING/ENGINEERING
*When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession withwritten
authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of this
form or submit a written authorization with this application.
THE APPLICANT(S)SHALL CERTIFY THAT:
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner
or authorized agent of the owner,and that plans submitted are in compliance with the City of Tigard.
SIGN TURES of each owner of he subject property required.
/e-C J AM fs A
:tip can 's signature Print name Date
5/A.-q//g
•�- .r � ��� ��''
. - , Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
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