HomeMy WebLinkAboutBlds-19-006718 if v
0 \'3.1 TOWN OF YARMOUTH BUILDING DEPARTMENT
7.4411,
,,41 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
SIGN PERMIT APPLICATION
Date Application Accepted Permit No. 3(...lJs-/9-0 o 7/F
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
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$40.00 each,payable at the time of application.
Address of proposed sign I2 x ROO`FR- 2`6 Historic District
Name of Business for proposed sign ACuPt I C R-5 f.A 04--- t-I-crA-T\NY, L L-C--
Name of Business owner ICU 1-Pti36114
Mailing Address of Business owner 1 Zoo ROB 2 g ) `140-4"-^00 i 1 m ft 0 +S
Business Owner Phone:Business 5o$ 3 v-7 _ Home
Name of Building Owner 'I ki?.A- l Lq-retool c A- Phone
Sign Builder .) aAvvt,A Sign Materials PVC, I 7 0%-(1-
Sign Builder Address 1 Z-(o (A)i-111 FS {�q�I � �1 �cT?1 Phone 5 o&- 3ci$ - 16 0
Singly Occupied Building / Business Center Internal Light External Light ✓
itFreestanding Sign Size: 2 2 X (p S 't
Attached Sign Size:
Temporary Sign Size:
Dates:
Please complete other side of Sign Permit Application
,
All Permits are subject to the approval of the Sian 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 ofApplicant:(7 % Date 7/1I
Property Owner Authorizatio • I hereby authorize the applicant to act on my behalf in all matters related to this
sign application. (Signature) Date// .07
6,
Approved by: Date
With the following conditions:
I have read and understood the conditions of this Sign Permit listed above:
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