HomeMy WebLinkAboutPermit Signage 1998-11-13
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_ "!II 225 Flr.m SmEET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (54 11726-3689
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BANNER PERMIT
CUMMUNITY SERVICES DlVISIUN
22) filth Street
Springfield, Oregon 97477
Office: 726-3753
INSi'l:CnON LINl:: 726-3769
BannerLocalion:_.....&it &;/ri~ A~(5 -I!4yLcl./}
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(.;?~1l..3 Y1 17-fl.....:)7-t..'- Y?fl <for) Tax LoI
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Assessors Map #:
Own.. ofl'ro~l1y:
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Contractor/Installer:
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COlllllruction Contractor> Regislralion Number: _____
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Expires:.u .--.........- ."-
Dc:xripliuu:
Dalt orInstallation: / ~/ 1 'i 4,y
Banner Permit Fee: S40.00
Dale of Removal: ...11/?jl1.J:......._
Deposil Rtquired SlOO.OO
By Jlgn.atun, Iltat~ and agree that 1 have careful1y compl~red thi~ applicarion and h~h'y ct:r1ify thaI all
infonnation herein is true and correct. I further ag,ee and understand thallhe above described banner (s) i, nol
larger than 60 square feel. and will be removed within ten (14) days from the date listed above. tfthe banner(s)
is nol removed within the time line specified, I will forfeit tht SI 00.00 de"",it. r also understand that this .pe<:ial
pennit can be issued only twice per c:alendar year per development area. I Dlso agree to call the inspection line ot
726-3769 by the end of the 14th dDy to request an inspection to verify Ihe removal of the banner(s). This inspection
will begin the process to retUrn the Sioo.OO deposit if the banner(s) has been removed.
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