HomeMy WebLinkAboutBLDS-23-002376 o`•Yq��`R� OCT 312022
TL
rd_ • ; c TOWN OF YAROUTH BUILDING DEPARTMENT
),r M1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext..,1261 MVP
SIGN PERMIT APPLICATION
Date Application Accepted Permit No. 605-23'(.131,137b
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 '//"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. I
Address of proposed sign (� l �6 `U�J� �Cj/�1�LG'L Historic District kJ
Name of Business for proposed sign E p k \ - 1 lt\ V -ALIA-1--)0
Name of Business owner H A'2 CO r
Mailing Address of Business owner rn���ca c; SQ(L ) t/Y O-(_ Fitt— Sivr j j(1-N OC S )
Business Owner Phone:Business SOg 7 n `IEil-? Home 8 1400 Li&oF
Name of Building Owner N V `KI `U( Phone $' --1/44 O L{ )
Sign Builder S0./y\ `In Sign Materials M.DO i
(14—
Sign Builder Address 5 C kiSiij n 5* rgQc'f iri Ms. . b Z/.STPhone C.(7 " ?cF
Singly Occupied Building V Business Center Internal Light External Light
Freestanding Sign Size:
Attached Sign Size: 01 X OyYZ
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 recei d.
Signature of Applicant: Date /0 13/ ZZ
Property Owner Authorization: I her b thorize the applicant to act on my behalf in all matters'll related to this
sign application. (Signature) Date < V )( _ 2
Approved by: Date 4l 3 y{}�a-
With the following conditions:
I have read and understood the conditions of this Sign Permit listed above:
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