Loading...
HomeMy WebLinkAboutPermit Signage 2000-10-23 (2) \ .. \ dCt-20-00 lO:45A . . P.02 ".I'I'INt;1 II I I' TRANS#:Ol-0003564 'J 'J 0 o IlANNER I'EnMIT COMMUNITY SlmVICF.S J)IVlSION 1 (.r;./ II ,':.l/)' :1/:,:: fA.\ 1!_I.II.1 /:.'1.; Jun.') 225 Fiflh SlI'eet Springfield, Oregon 97477 OrJiec: 726-3753 INSI'ECTlON I.1N!:: 726.]7(,9 Ballller Locatioll: _ "'\~." ,O~.. " 5\)r:v-.v, I:l.0- ()~ A<s.s!o", Map #:_, , \\ ':\ .. .--"'""" " () \ .I (I ~ -0', . {'l Owner of Property: " \N \:J ~ ......, lOb!> , f{\c.vrC ('\_~ Ql'l17 Tax Lot '-~'.," .. -. ,,-- , '.. , Address: City: _. __~\ ~ \0- '. DR Contraclllrlln!lallcr: _, .. h(~ -: _ Ph"n<~--S41~ 7 57"-7-7Q'0 S'"tc: r)\< 'S\-..g.~~_o\ "__,, ,_Zip: Address: I'hlllle /1:...3 41.::,k1..U (;Ily:_., Stnt~: "7.;1);_.,, "Q.,c.\.-.<-A."I. (2." u... "^v-4+ L'O.....+. F.\'pir".... ___. Con_~trllctlon Cllntrn('fors nl'giso'utioll Numher: ~ 2~3:, U(,sC'riplinn: Dale or Instullolioll: _.IO~ L4-01J ()nlC of Hl'IlIU\llll: \\-[-0-0 . Banner Permil Fl'e $40.00 neposit nC4uin'd $1110,00 By 5ignnturc, I state and agree that I have l;ilrc!ully complclcc.1lhi~ application and her~by clTlify that .111 infonnation herein i.c; tme and correct. I furlhL'r agree and llllt.lcrstand rhat !he <shove descriLll':t.l hanncr (5) is /l01 larger thall 60 s4"are feel, "nd will be removed Wilh;1l I ~ duys tiom the d"le lisled obove, I r ,he hanller(s) is not removed within lhc timeline specified, J will forfeit the ,~IOO,OO l.kposit. I also 1111t.ll:f~;lanrl rhlll this special permil can be issued unly twice per e<slcndar year pcr l.h:velopmtnt ~lrC;1. ) also tlgrl:l: to c:111 rh~ illSPl'l'tiol1 line "I 726~3769 by Ihe cuu orthe 1t1lh !.lay to requesl all inspecliOlllU IIl'riry the r~lIloll:l1 orth~ h;,\Il:\t,:r(s). This in.c;pc(riol1 will b~._g'in the roc:::~ $IOf)'OO~IcP_OSJllt rhe bnllllcr(sJ ha" hetll rl.:I:lOlIl'd ~VV I//~ /~-2J-~ p-.....lll:U I),lte - . -' .:~ -------- --~..---- ---.------ -. - ---- ___.__n_____~_.~~______. .------.-.. _~-------------..... _ ______. __ ____ __ _. _. _. ._________n _________.. , ' .. OFf-ICE USE DOlle of Applicatiflfl: Jnh 1/: ... ({l.:t,:l:irl II; . \"ued lly: Amount Co'k..:\cd: