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HomeMy WebLinkAboutPermit Signage 1992-11-23 ..1,.:,1': IJ1:HIVllr APPLICATION. ~ ''',~Iru'l ~ ," '.':<1, l)H 'J7.1l7 ~ ~ ..,..I,iAJ 01' l'I<OPOSlU wOHK: _l\.l,_..~~ .r :,: on:: r\'1fd,:.~~~3 .n __._..__.. u" ___.____._____.. ,V!l':I;~ --'-~d~-:!#'_~___,/~--W -f~ 111,1<<: :~:: ~~~__~C:::_J "'" k..____ -~,,-ri:;;.._/ JO'O.leH' Q\\f2E5P'C" Inspection Linc; l2G<nb'j Office: 726.3759 TAXLOT: PHONE: Z';7 /.-:f'rj/ ,:JJ STATE: .'0"1/ t...~ ZIP: q 7C.'6' :.-/ ---~------,_........ .. r'H.::'.:) fJ/\I\~C. nnr'J' [,I"e.: ;: ~~,....~ --.-~- . P' :,1 ;1 .:IUhIOI. 1.'.!:lll 1'1l0POSED SIGNISI: (ph,ase 9. Frl:estandinu c/ltCk and complete all appropriate information) Projl;ctirlC! Rool d'_'_., Marque(: ;3,,101(: F:lt:l: DOulllt~ I:,JCI~ f3illlJO<lr(1 Other - = ...-<-. rY\ (\ \1 'l' lIIfI. . . .1\(\ ':"1',:'11' (tlll:,IUI: G/ _ \\ \W\... 11lJ..AJ' I \. -~-"/~~ \' Il".,l~ U,IiH:II~illl' Id ')1[1(\ Of 1!111;losurl::. , y Tot<ll Heiytn above Grade: 01 " HOfil'onwr Widt~l 01 sion or enclosure: 72-'1' .;.:,' '. 1'1 1,,1111 t;r,I,I(: . II \ II :), ~;IUII: ? ij' L- cJ . ?'- .-- -? r:1~(;1.r(;31 11lsUlIln!iol1: Yes A No (It Yl~S ilthlititmul permil is required) /- VALUE: /Cl'iItf ".1.1.. II Ii :~IO~1 .~; CIH):,t:UCltcd (i!; .".==-:,~~.7-:::~:~~~ ~I.l id.l ('XI'itIlID :')IUf\:llJC' :l1l0 attach <J phowgr<lflll of oilch siIJn: (:\1 'T'n~. :l\~---,. s.::' Ft\]. Itll Type _ Sq_ Flg_ q I r ',' P'-~ ~.;q . f:1U. Idl Type Sq_ I.tg. ." -,. --I - "I r 'S'I'A" l'I~~""#'''r''"---'' l.1).';II..,\... ,.)lll'l I.l.'~:_"._ .._ ~ PHor'JE: ,,""' ,', ',.1, '.' ,'.' '. STATE: ZIP: , II~'> [HUe IIOr-~ 1,:UN'1 H^l~ rOHSI"il:'CiISlllArION NurvHIEfl: EXI-'IHES; ------ --..--."-... U:'f f~U:;lr JI:~--;S llCr:N~iE NlJMHER: "X PIRES: OFFICE USE ;"!" C" l"c~\clQj\t\oJL L ",d Ur." .__~i31 Ouod Ared _l~J\)~ '''''''u },,\1JL. - ton-------- Cou" swu,\ -:-~~~n~))-'-'-- ---\1' - :",p, 1'0"',;1 F,.f.: ..40.'.__ ___ _ .._..___ Apl'ruvcd Uy: ~__'\":\V.~_~_..______.._D^TE:._ -9.3-q~ ".! uU!:H:O tNSP[C1'IOhJS: . \f). r"olinu Attacllrnc"t EII,w;C.11 \./J F;,,,,, prllH tu pl,-iCl'IIICll\ {dtUf f;lStcners arc prior to ~nerClj?ing t:.~;il:tloll uf SltPl t. '.!!! I ;J1.JCt.:incr)! ul Ct)llcrClt! inst~I'JecJ/prior [Q cover illswJlJtion ,'IIi"i,,,,..1 (0"11110Ilt' .mollor ClIndltn"'S:~~' ~MJ\. ~ \ b.Q- \ 0(' 0.1:" o~_-.Ln. .___. ~ ~ ~~--=--------- ---.--------- :.i,le :,; Ii!' ,1l,J;)e priol I'll '<In:l!Llrt-'' r st:lle ,lilt! ~JDrce, \1"\(11 [!lave c;:ncftllly r.x311lirll!u ~he completed application and du hereby certIfy th~t nil inlldll\,HiOll II ','~In I~ !Ill;:: ;\;Id ,:Qrrcct, ':IIIU Ilunher certdy that :lrlY ,HHI <.Ill work. performed sh<.lU be done in .:JCCQruanr.;u with HIe Ordu\:1Il!:e'; 011111. ,,,:i,,,' \_ ~,!l!lno;jll'::!U, ,:]r\d the L:IW$ ut the Stilte 0' Qrt:gurl pcrt~iflir10 to the work described hercin. I further certify th~Jt 0111'1 CfllHr,IC[OI', :l:ld ",:,plt)'I.~L":1 '.,'JtlQ :lrc In ClJInpl131lce will) ORS 701.055 wllllJe lJsell on this projecl. 11uilllt;r ;l1jC1.:f: to ensure ttt .II r~quirlld ulspections ;Jf~ re<,l.6~stcd <H the proper time, that project address is reaoablt: trornllt\.: ',(r"I;I. :Ild! I)" PC'llldl C;Ht! is IOC~ 'runt ov1l1e propcr~:;lcJ)f1c apfJroveu set of plans wilt remain on tile site at all times UUllJ1D lll~: HI",t,:H 1~ !II' ,,! i1\I: ::Iqn(~;l. /' //.. /./ /;./ ,I ~;'I""1lJ":~~":~':20/'~/',----- Date //_U .~:=r~:h_ 1/:i1IU.jII'llI: Amount nl~Cuivcd: ~) .m Hen:ipl Nurntn:r: ._lQ_~\\ _.__ Date Paid: -;:t-~.'~0-U~_LJ{L_. Rcce,ved ~~' ~ ~__.__.n.._._