HomeMy WebLinkAboutBlds-20-003285 l cl TOWN OF YARMOUTH BUILDING DEPARTMENT
MATTA v.;) 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1:261
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SIGN PERMIT APPLICATION
Date id A-di q Application Accepted Permit No. t'iDS—ZO 504
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 '/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 $40.00 each, payable at the time of application.
Address of proposed sign 2 v 3 ktt, cq 6'OY r i 6(c.. Historic District Yl 0
Name of Business for proposed sign 6C.L5S Pam. ,--Vf v (j' v U p VY CE-I C.
Name of Business owner i l ( J. R-,.{ t a..
Mailing Address of Business owner U- Ri a 8 6y a,/,vo of J1, )14,t4- 602 L.(a q
Business Owner Phone:Business c a - t61 Li- 13 5 2j Home 5-0$ q L/ - 3-7, 0
Name of Building Owner I.,)a -r)i P J Qicio Phone cb $ _ `'t LI-- I C a
Sign Builder ,6_,1 yy)pLj LS 1 Q R Sign Materials
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Sign Builder Address Phone —7-7 2-a5 3 c ,
Singly Occupied Building Business Center Internal Light External Light
Freestanding Sign Size:
Attached Sign Size:
Temporary Sign Size: I „ 'e a "
Dates: ! Rho I q '- t 2 i ;ILI , Z
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.-r-G 1 - )el -C1 17r f s-, h u.—l a i ri c 6(2
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ad -)-i 3e Ch,;s4,1 Gas 1 ad -c' sale
Please complete other side of Sign Permit Ail If ication
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 Applicant: Date 1O� Jq/1
g PP ��
Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matters related to this
sign application. (Signature) Date
Approved by: / Date t'5
With the following conditions:
I have read and understood the conditions of this Sign Permit listed above: