HomeMy WebLinkAboutBLDS-22-001238 k
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RECEIVED
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i:v4 , AUG 312021
"''‘„ TOWN OF YARMOUTH BUILDING DEPART VI T. - -
UI DING
\ATTA�M s,,,�<g 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 e l 6-1---
SIGN PERMIT APPLICATION
Date Application Accepted Permit No. 3L0.5— Z24V23e
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.
1) 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 (051 PoOt e 28 W. yO rmpu-h Historic District — _ _
Name of Business for proposed sign__Co 0.S+1irie_._5,a.pi-i S± Cht.r&h
Name of Business owner Oorlat 4 S evignc --_ ___
Mailing Address of Business owner 1p51 P..00*i✓ 28. W. 9i_c rry100th —
Business Business Owner Phone: Business NIA Home 1141 910 t 15(—
Name of Building OwnerNfSack_ M1iy_Q_kQ.si-aS ._-__--------_-- Phone_ Oa3(p333 8
Sign Builder_Sirnoe SIT Cape Cod Sign Materials _on Acne.)
Sign Builder Address b5O rou _2aw. y c1.K n1_ _. Phone _508 77a0
Singly Occupied Building )0 Business Center x _Internal Light_ External Light
Freestanding Sign Size:
Attached Sign s� oc t l0
1 emporary Sign Size: WO" X 100 u Cit Cj — — it
1.
Dates: . i/0 --- 211-2d. 1`
_________ ______/ p
Please complete other side of Sign Permit Application
All Permits are subject to the ap.pfoval 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 tins sign will not be altered,added to or changed in any way unless
a new permit has been issued. Sign Permits arc 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 0750_
Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matters related to this
sign application. (Signature)) t.' !r2.4/ '_O Date )— 9 9
Approved by:
— -- - -- — — _ DatevC
With the following conditions:
I have read and understood the conditions of this Sign Permit listed.nbove ` ''
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�. . 40.
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