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HomeMy WebLinkAboutPermit Signage 2011-6-17 .~. Ii '~ ~ ""', . .~~ f"1j 1i:>../{o. ~J .~ 'v--4 7(#.);; ~ " ,1* ,..,g)) ! e) ~ ~ ! =. ~ ~l J?/ f . sa1 ..~ ..~ ~. -n._l( Q~ ~ ..~ >- ~ ~ 7(#.);; ~ I, \. ...~ ~ I .~ ;ii;~~'~:I;-;:~?~:'h~,i:~e.'S'~R"nfiT~F' IE' iD'.>";;;n'E'~~XT;:;w :~'i!;:J1rlr.~;;" 'J '" ilf=c";",ffi!\:01Y.1Z"I'''"",\.:::JFi < >1\;;!tl~\.'lJ b ~\J.NJ:i\:;J\.::JT"t fl;..- ~ .":1 ' n -,,':' ~?!',J@:,'lf'>'"''":.:& ~-"'Jf:;;;ytt:;2:~,,~)*'1,.r#~~,f'ttft: w";,-....~_~:.\, -, -*,:.w!Si;;r1f'~'~""~-t.J4>;.,.~?J v;Jftj~:..,":fu'c,l. 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . . <<=-J)t2-zor!- 014 ~b CIty Job Number ..? FI Job Location ~& W M-m/ Assessors Map~ \ '~:er :~;~:~:~"'4~;;:::;;:~::~'37J~;;:rm;t~i:~~7!!;ito~ ~... Address ,&?~/ M'l.~"L-J4'2 i= 0h>fl !l1/1-.IJ1')rphonf>. ~r 9?o'D City -fP~Stl'-,-,,"779J.rb-r..j) Statec::?L- Zip 97/dJJf.!V78 . Address 9#//1 c: Phonp City State Zip \ Construction Contractors License # Expirro Description ~ R:;:/h r' cS7y /f../ Date of Installation ~// i(} / Rl1- ~v Dat~ of Removal 1 II if / Ir I 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.' 0. ;''i;;:~~~~,~".,~:f!-tl~.", r)~::"i~~'!(~'IB~~.;;~~t:'~ijrii9i;1l,;('.iiii.~0:;-fgf;/l!f~...;/l~,e ., . ~,1;;:;'~~'~ ;~t..;.:'.;t..::~~":" . ~ Date of Application ~/Itj//I Job # 5/1-01'13 b Receipt # ZCI/ -IbiS"" Issued By . cc- Amount Collected ? 'Z-S - Shared Drive (T:)lBuilding FormslBanncr]ortable'Sign Permit CSD 7-QS.doc TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.OLUS 811-8PR2011-01436 6684 MAIN 8T permitcenter@cLspringfield.or.us RECEIPT NO: 2011001615 lbESCRI~liION' ;~1!' '1'c":", ; i, ", Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technology fee (5% of ,permit total) RECORD NO: 811-SPR2011-01436 DATE: 06/14/2011 .h>,.: ,*;:;nL , ;ACCOUN:'tCOPE ' , ',: !iI,' ,,6.MOUNTcDUE fi 224-00000-426605 20,00 224-00000-425602 100,00 821-00000-215500 100,00 100-00000-425605 5,00 TOTAL DUE: 225.00 ;C6MM~rfES'"j1/: ". .e' ",LL;;>:':jr.iY,lL:':t",' ,!t'~{AMci(JNTF)Anr';:";"i:~' 225.00 r PAVNlENTTYPE Check 6886 1" ;:i';'" PAVOR 'i~" ,"CA':'-t:UE'R:CC'AR'PEN'TER': Oregon Horse Center TOTAL PAID: 225.00