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3, . 1" TOWN OF YARMOUTH BUILDING DEPARTMENT
° ',"J, "j$ 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext.1261
SIGN PERMIT APPLICATION
Date December 4,2018 Application Accepted Permit No. 15.05'/g 72 )356
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 8 1/2"x 11"sheets including the following diagrams:
A) Design,dimensions and colors of the proposed sign
13) 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 at the time of application.
Address of proposed sign 14 East Main Street Historic District No
Name of Business for proposed sign 14 East Main Street
Name of Business owner Kayrouz Realty-Johnny Kayrouz
Mailing Address of Business owner 16 East Main Street,Westborough MA 01581
Business Owner Phone:Business 508-366-1529 Home 508-878-7664
Name of Building Owner Same Phone Same
Sign Builder Kay Gee Sign and Graphics Sign Materials Plastic face replacement
Sign Builder Address 200 Southbridge St.Auburn MA 01501 phone 508-832-3471
Singly Occupied Building X Business Center Internal Light X External Light
Freestanding Sign Size:
Attached Sign Size: (2)existing signs- 18 in x 12 ft(18sf)-Panel size 18"x 7ft(estimated.)
Graphics change only.No change to size or structure.
Temporary Sian Size:
Dates:
Please complete other side of Sign Permit Application
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.
I December 4,2018
Signature of Applicant: Date
Property Owner Authorization: III reby_authorize their.plicant to act on my behalf in all matters related to this
sign application.(Signature)! � _. 1. ----. Date 12171 If
Approved by:
_ Date /?—/Crg
With the following conditions:
I have read and understood the con.itions of this Sign Permit listed above:
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