HomeMy WebLinkAboutBLDS-25-68 %' 'YA
TOWN OF YARMOUTH
t� s , Office of the Building Commissioner
0z. - = , 1146 Route 28, South Yarmouth, MA 02664
,,-,,,R.,0,b��'' 508-398-2231 ext. 1260 Fax 508-398-0836
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SIGN PERMIT APPLICATION
Date 7/10/z5 _ Application Accepted. _Permit No. 134'4S'a S
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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 1 1" 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. I t l -,1:) ?1 to 5,1,„t/, / C OZ 4iistoric District
Name ofBusiness for proposed sign �►(�p 4'J �"IGI
Name of Business owner /01,•J1() C YarrY19i
Mailing Address of Business owner 4l "]6p Ha- 2 3. \ 1,1V,„,1 ma „,,,,,41
Business OwnerPhone: Business -3 9 e-z2s 1 Home.
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Name of Building Owner )OULN1 U c 04.11 l _ Phone. _
Sign Builder 5\cx 9`P 4 _Sign Materials ViV(
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Sign Builder Address lay I kf atlnOv r l `_ t-IYrAriniS Q Phone. g 7 // 4/�
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Singly Occupied Building Business Center Internal Light External Light
IreestandingSigrt Size: _
Attached Sign Size:
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Temporary Sign Size: 3 f 1 Ac c\ApX t(,;1 VQrce
Dates: � l/ Z5 - 0./2,5
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 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 received.
Signature of Applicant: 4
(7 //4.,.1,---___ Date. y 23
Property Owner Authorization: I hereby authorize the applicantto act onmy behalf inall matters related to this
signed application.(Signature). /v ,� Date. //23
Email:
Approved by: Date.
With the following conditions:
I have read and understood the conditions ofth is Sign Permit listed above:
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