HomeMy WebLinkAboutBLDS-22-001235 i
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e Q5 TOWN OF YARMOUTH BUILDING DEPARN 1� 1�� ae 2021:___ �„, i 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 x . 12 3 1 BUIL u
SIGN PERMIT APPLICATION
Date Application Accepted Permit No. 3 o --WotasJ
Applicant Instructions
1) Applicant shall complete both sides of application.
2) One application form is required for each sign. Each sign will he assigned its own permit number.
3) Applicant shall attach separate R '.%"x 11" sheets including the following diagrams:
A) Design, dimensions and colors .) the p oposed 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 $40.00 each, payable at the time of application.
Address of proposed sign -illjo V{'_2$ 3ALAtar.mourn Historic District
Name of Business for proposed sign Cocks-I-line ba.ptiS±Chorch
Name of Business owner Donated Sevig e
Mailing Address of Business owner 1251 P..,o *C. 29. W• 9armoOth
Business Owner Phone: Business NI _ _ Home _7141 910 1,.15-1_
Name of Building Owner NJ a S1 -- L a_0 st'aS-----_---- -----.--.----- Phone 508_ 3 0] ,335
Sign Builder SI_nrlple Sl-Q}ex5 O - £Q4,Q'e Cook Sign Material,, ago 111cifyi
Sign Builder Address b50_r'Qt)-re 28 VJ. arrnoszth-----------__-_-_ Phone 5O8 YIB 053(p _
Singly Occupied Building )p Business Center__A__ -Internal Light External Light
Freestanding Sign Size:
Attached Sign Size: ati X d a O N ,� G1oii a 4
7- Temposrary Si('n
Dates:
Please complete other side of Sign Permit Application
_ _
. it,
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- All Permits are subject to the approval of the Sign Inspector
I hefer 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 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: et/Zs
Date
— 61(950
Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matters related to this
sign application. (Signature) ,/�C ��'/A(Y t I//l/Y)A(M h/eV Date (S)—4-� /
Approved by: ______ — — Date ( /
With the following conditions:
I have read and understood the conditions of this Sign Permit listed abuse: .
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