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SIGN PERMIT APPLICATION <br /> <br />OREGON STATE HIGHWAY DIVISION <br />PERMIT UNIT, i[, SALEM H[G[NWAY ~LDGi. <br />P.O, BOX 14030, SALEM, OR 97310 <br /> <br /> STATE OFFICE <br /> <br /> NONCONFORMING <br /> ~ R~SON: <br /> ~CONDITI~AL <br /> <br /> SIGN <br /> <br />JHIGHWAY ROU~ NUMBER OR <br /> <br />APPLICATION FOR: <br /> <br /> ~IS ~US)NESS SIGN(~) WITHIN CITY [] YI~S <br /> I! . LIMITS OF INCORP,.O,RATED CITY? ,L~, NO <br />,"~PROPOSEO SIGN [] EXISTING SIGN [] RECONSTRUCTION [] CONDITIONAL SiGN <br /> <br />[NDICA'rE ON-PREMiSE SIGN PERMIT NUMBER PREVIOUSLY ISSUED FOR THIS LOCATION; <br />NAM~AND AC)DREE~ OF PER~N oR CO~PAHY ERECTING <br /> <br />A 1 <br />.... '~' ~ ;~, -~L., .. .... <br />~ A~o~ a~F ~ , ~f~' UNIT <br /> <br /> NOTICE'~ <br /> <br /> NO SiGN IS PE~ T~;ENCR~AC~ ~ON OR <br /> OVERHANG ~E HIGHWAY ~i~HT 0~'WAY. <br /> <br />THIS ON-PREMISE SIGN PERMIT APPLICATION <br />REQUIRE~ COUNTY APPROVAL PRIOR TO ISSUANCE <br />OF STATE PERMIT (SEE PAGE 2). <br /> <br />' DATE <br /> <br />FEE SCHEDUEE <br /> <br />Ove¢ 1000 sq_ fi. <br /> <br />$10,00 <br /> <br />$25.0O <br /> <br />$50.00 <br /> <br />$25.00 <br /> <br />Total fe~ to accompany <br /> <br />ALSO COMPLETE PAGE 2 <br /> <br /> <br />