HomeMy WebLinkAboutPermit Signage 1997-08-01,
-;SPRIIGFTELE,
D EVELOPM ENT S ERVI CES DE PARTM E NT
225 Fifth Street
Springfield, Oregon 97 477
BANNER PERMIT
COMMUNITY SERVICES DIVISION
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-368e
Office: 726-3753
INSPECTION LINE: 726-3769
CITY OF SPP"VGFIELD, OREGO'V
Banner Location:
Assessors Map #:Tax Lot
Owner of Property:
Address:Phone #:
City:State:Zipz
Address:Phone #:
City:State:zip
Construction Contractors ber:Expires:
Date of Installation:\ q'\Date of \5
Banner Permit Fee $40.00 Deposit Required $100.00
By signature, I state and agree that I have carefully completed this application and hereby certit/ that all
information herein is true and correct. I further agree and understand that the above described banner (s) is not
larger than 60 square feet, and will be removed within ten (14) days from the date listed above. If the banner(s)
is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special
permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at
726-3769 by the end of the l4th day to request an inspection to veriff the removal of the banner(s). This inspection
will begin the process to return the $100.00 deposit if the banner(s) has been removed.
r
Date
s
OFFICE USE
,"oo' Q,l\\\tDate of Receipt #:
Issued By:
B\ql
Amount Collected: