HomeMy WebLinkAboutPermit Signage 2009-6-5
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225 FIlTH STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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DescriptioI' ~\"'0.Jt.... \),(T) ~.c 0 01 '-? (\ \ \(\\I~'--=, '-\ 'f.-)(
Date of Installation2iD" , 9:~ I r)~ Date ofRemov~l :-\" ")\\ G ~, (')~
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign 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 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed. ..
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Shared Drive {T:)lBuilding FonnslBanncr_Portable Sign Permit CSD 7-08.doc