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BLDS=-23-002724 expired 81623
o,Y R"e �_ `` °� TOWN OF YARiMOUTH BUILDING DEPARTMENT 1°',- ,, j 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext.1261 �5\ i SIGN PERMIT APPLICATION Date l'Li 9/ O 2 Z_ Application Accepted Permit No. 1.3 Li)��� bi.)a 7�4 Applicant Instructions I) Applicant shall complete both sides of application. 2) One application form is required for each sign. Each sign will be assigded its own permit number. 3) Applicant shall attach separate 8'V.:.'_x 11"sheets including tir: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. I D) Temporary Signs:show location for sign 4) Sign permits are$40.00 each,payable at the time of application. Address of proposed sign 1 0 ",p©ETC= ZS Historic District Name of Business for proposed sign C412-+ I 5f 4 ND. Name of Business owner E5H R - (5t.4t S W-) MailingAddress of Business owner [1- b LfN )T12 .T � C..NN1S 144. lj �j � vaL�o Business Owner Phone:Business (1 1 +� ' 3 t. Home Name of Building Owner klAr'465 `�b4: , Phone Sian Builder NATICNA(_ 1(,N CC11ZPC)5L4Tt(_yt--t . Sign Materials ALL"I N t"—• L C t C_ Sign Builder Address 1Y ( `LIT:ui (1H e5t"(1)•/ 1 u 5t1,r Phone 56—Le 1 Z.•(pf1 S OiS0i Singly Occupied Building Business Center _Internal Light _External Light Freestandine Sign {Size �'rtck (1' LI 3�4,, t orT. u G!C'1(a &r (U . 1-.110 rr )Attached Sign Size: . C. ' r Temporary Sign Size: Dates: 1 Please complete other side of Sign Permit Application