HomeMy WebLinkAboutBLDS-25-64 ..-4'TAif-/i-,, TOWN OF YARMOUTH
' _ ° Office of the BuildingCommissioner
.yv 1146 Route 28, South Yarmouth, MA 02664
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, C,gPORATEO,,,,\ 508-398-2231 ext. 1260 Fax 508-398-0836
SIGN PERMIT APPLICATION
JUL 0
81025
Date , kC, DEPARTMENT
.placation Accepted. _Permit No. 11J S-a5 `(pk 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 is 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. 252 / 2 a' /' Oo Historic District
Name of Business for proposed sign 3 ( ) 7-/' t / C. D
Name of Business owner /1/(`7-7'4-'0= ( /`1/f16--O -0
Mailing Address of Business owner j Z 3 /L Z t,/ -y-4-rt. M O ti f)
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Business OwnerPhone: Business 'S a 77 l 5 S 2 Home. ' 7 7‘ L 1 `f'(
Name of Building Owner /4'7/Ch5L1 1 v i 1v /Y'cb (y,Phone.
Sign Builder Sign Materials
Sign Builder Address Phone.
Singly Occupied BusinessCenter�
gY pInternal Light External Light
Freestanding Sign Size: L
Attached Sign Size: 7 7_
Temporary Sigu Size: ��
Dates: 4/144,4449- lG[J(2L.' fr1 (�1
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Please complete other side of Sign Permit Application
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All Permits are subject to the approval of the Sign Inspector
I hereby agree to conform to the provisions of the 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 g pp received.
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Si nature of Applicant: G ��' Date.
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Property Owner Authorization: I hereby authorize th�-?pplicantto act on my behalf in all matters related to this
signed application. (Signature). Date. % r
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Email: 77/y ,10 --29--/6,- (5;(-1 CCCC S
Approved by: Date.
With the following conditions:
I have read and understood the conditions ofthis Sign Permit listed above:
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