Laserfiche WebLink
Mail 4Vith Proper <br />Fee To: .�� <br />Retum Three Copies to Olyrnpia - Complete in Full -- C. rbou Paper Not Ncedr.d GtG , p <br />--------- - ------- " �y -- <br />b;'.ASHING fON STATE <br />DEPARTMENT OF TRANSPORTATION <br />Hiyhvday Adrnini<.tr:ition Bldy., Olympia. V2ashingion 98504 <br />ATTENTION -OUTDOOR ADVFRTISING CONTROL oisl��ur.7 No. <br />APPLICATI��-�:�T�C3�R ADVE:�TISIN� SIG(�i ��RIVIIT <br />TYPE OR PRIN i Name and A7aiiing Address of O�vner of S�qn in Space [3c�ov� <br />P1APdE Dynanic Sinn. Comp��Y---------------- <br />ADDRESS ciox_l�aeo <br />CITY Bellinnham _ ____ ___ _ <br />STAT[ Washinntan__ _. Z�p 9f3"�"7_ � <br />_'-.-_ __ .. � 7�______ <br />i,!arch ?0 <br />DATE: _ �iiia.��_•� {7 �3?�e�'�'.------ �� `�–��---- <br />LOCATION OF SIGN: 5 <br />STATE HIGHNJl�V NUh1GER _____x�(rY_ __ , — <br />DIt7ECTION & DISTANCE FRG41 CEfdTLR OF� Qa� I\�l��.tn <br />eAfiEST CHOSS RD. OR ST. IN FEET �� � <br />SICN DESCRIPTION: <br />' SIZE: _$ _ Ft. X __�yl� <br />SHAPE: RECTANGULAR iS <br />OTHER: Desribe <br />� <br />o t s.,. ,Hw, <br />i � FOR STATE USf ONLY <br />I U.1T[RECEIVeDOLVAAPIFl . 3=� Z�g`� <br />�� 1 <br />� PER`AIT NO Cr YEAR J_piZ�� ��j <br />�SSIGNEU: __.f_ _Z 3.�. 7,13 NO. _Y_.L� <br />I� � r /BS�. <br />UATE PGRMIT ISSUeU� _ _ �__J..-___ <br />IINVEHTORV N0.� ._ _____��_�>_ <br />CONTROLSECTION� '!!' <br />I GS.P,1.P.: _— . -_ ______-._ <br />S.H.t.i P.: _.T <br />__/ _.__'_____- __ <br />. . � � " i..-. .. ' <br />_ SiOEOFNIGHVJAY ;J ��'�} E I-I o IJ � L� <br />S1.siGt�faaN� rv !Y _ Ci CJ w-L; <br />F�. 1orn�nr3ensaFr. --1�1�1------ <br />S�UAFlE ❑ OCTAGONAL ❑ ROUtiD Cl O711Ei1 iJ <br />—_.__ _._ _. . ... . _ _ __ _" _.-__ <br />NAMFANDADDRESSOFACTIVITYBEINGADVERTISED; '�uS1170SS '�Vltlllt"1 1� 31T !?i1.1�9-t0 (�P.�tET'III1.I1@(1 1_c�,ii,@] <br />Fee: 510.00 Per Sign Face <br />ASake checks or remittance payable to: <br />Department ot Transporta;ion <br />sicrvnruaE <br />� ,' f�_ <br />Si/n Ownci <br />_--- _____ <br />-.._ ................_ b:atit P..innsn�er <br />__ ..............._.................._............................. � -.'. . <br />AUTHOFIZATION OF 04VNEfi OF LAND ON WHICH SIGN IS ERECTED OR MAINTAINED <br />ranm�e &use Timber �: Sales, Ir�ca 3&12 <br />- _'___._ ADDR[SS ______ <br />C! T V _T.!;3.T.3G: �I <br />?Sth Place ii� <br />STATE _'-_—�t�.7`^-.�1.].Y:$T�1D:1___.__'_—___ ZiP . �.n..i-�-v. <br />l, the undersigned, l:ave consented to tl�e erection and maintenance of the above descrihed outdoor advertising <br />sign on properry N✓hici� (I ownl (I lease) in con(ormanr.e with lNashington Outdoor Advert%sin� Control Sign La�v <br />(Ch�pter G2, Lam�s of 19711 �nd rHe Transportatiorr �on;m;'ssion rrdes an�; rcyulations ;or oritrioo; advr.: tisinq <br />control aloizn lnterstate, P�rmary and Srenic routes. <br />„_ ,�,�i�;� <br />�,��,;:.,,. ��, � _ — <br />A COr^1' UF LEqS� (�„-�LPTCU IN l.1EUOF 9GNqT.:�L <br />This p��rmi; shall no� bc con�,idered to allow ci siyn io be crected or maint:iined ihar ;s othenvise prohibited by Sin.ute or by inc <br />Resolu[ion or Oidinar�ce of any rounty, c�ry m town or ;he State of lNa,hinntn;i, <br />Sigr�ature of Dep;�rtmr.nt oi Tra7spnrt�tion r�n�i'oy��e <br />validates this permit :ind acknowledqcs ier.ci��; of .� i t/f �� /� <br />fco pnirl. rr �,%�/ / . . . . . _ � �� � � _ . . --- <br />Fo�m 27a ot;; r.,, p�.�,.,,��: �•� :- i r�.���,;��: •,,, � <br />DOT ����-�,..:d��7; <br />