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($1' �q c TOWN OF YARMOUTH BUILDING DEPARTMENT--- -----;
°° :, ? 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ex't."i2b1c. �I. '._E.4) j
APR 2 3 2018 ' t
SIGN PERMIT APPLICATION L
Date Application Accepted Permit No. B .hS-I a-Ob 2c-` J
Applicant Instructions
1) Applicant shall complete both sides of application.
2) One application form is required for each sign. Each sign will be assigned its own permit number.
3) Applicant shall attach separate 81/2"x 11" sheets including the following diagrams:
A) Design,dimensions and colors of the proposed sign
B) Freestanding Signs:provide certified plan by a professional land surveyor that describes how the proposed
sign meets the zoning requirements included in Zoning Bylaw 303.5.6 or 303.5.4.2 (as applicable). A
stamped and sealed"as-built"will be required before the permit will be issued.
C) Attached Signs: show length of portion of building frontage that is occupied by applicant.
D) Temporary Signs: show location for sign
4) Sign permits are $40.00 each,payable�7at the time of application. �� •
Address of proposed sign ? /t 33 !4 ,)I ,,6 • yeztmO Ct /A Historic District
Name of Business for proposed sign 8zt5Ls P i Lf-er C f/ry p i'W-f--1 C
Name of Business owner -1>L1?/ -ei
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Mailing Address of Business owner X233 /C- U,=/ o, I 3 • Va412/0 LG��, /v6/ 1)46, G 4/
Business Owner Phone:Business SO PP -3 9 - /3 S3 Home 5 DP 3 Jy, 37,E 0
Name of Building Owner PGL/') Lu 4 • phi/da Phone S� P-391/4/3 cs
Sign Builder ` Le 41nd Sign Materials pp
Sign Builder Address Phone,3) 771 is c3 b
Singly Occupied Building Business Center Internal Light External Light
Freestanding Sign Size:
Attached Sign Size: P t� J
Temporary Sign Size: / A'c;, 7 p
Dates: cid-I P 5 -42 - J P ,
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Please complete other side of Sign Permit Application
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All Permits are subject to the approval of the Sign Inspector
I hereby agree to conform to the provisions of Town of Yarmouth Zoning By-law Section 303 governing sign
construction and installation. I further agree that this sign will not be altered,added to or changed in any way unless
a new permit has been issued. Sign Permits are not valid until the Building Commissioner issues Use and
Occupancy Permits (where applicable). Freestanding sign permits are not valid until the "as-built" from a
professional land surveyor has been received.
Signature of Applican . ! , Date
L(? I � �
Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matter. related to this
sign application. (Signature) C7 Lid)U2 r Date •
Approved by: !� G Date d7--;72 -zg
With the following conditions:
I have read and understood the conditions of this Sign Permit listed above:
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