HomeMy WebLinkAboutBLDS-25-105- R c ED '
g Y TOWN OF YARMOUTH DEC 111015
litt[ Office of the Building Commis BU LDING DEPART =N�
= 1146 Route 28,South Yarmouth, M
508-398-2231 ext. 1260 Fax 508-398-0836
SIGN PERMIT APPLICATION CC
Date IT11° 7 Application Accepted. Permit No. l $
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 is issued.
C) Attached Signs:show length of portion of building frontage that is occupied by applicant.
DI Temporary Signs:show location for sign
4) Sign permits are$40.00 each,payable at the time of application.
Address of proposed sign.3 £ni-erp'Sa c•d• /
• larmaPart 1)(15Historic District
Name ofBusiness for proposed sign .1) c.e_Po(-.1".
Name of Business owner M1cAe.\\.e. CIA
Mailing Address of Business owner CA Jn:k A ‘fnrmoiIii)nr+ MA 01675
Business OwnerPhone:Business 7741•�7 5"• 0 9 a Home.
Name of Building Owner Gce3 Qi1CZ-;\<.. Phone. 50P 375-0005
;uiider Simelee. 513ns Cape 'CGa SkrnMaterials Alum;n k In _
SignBuilderAddress I I� 10.rmou l awl,s 0).6iO`Phone. 5O 778.053(p
Singly Occupied Building BusinessCeer Internal Light External Light
Freestanding Sigit Size:
Attached Sipe Size: 7 a i r ) 3.W i n
Temnorars Sign
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 the Town of Yarmouth Zoning By-law Section 303 governing sign
construction and installation. I further agree that this sien will not be altered. added to or chanced in any way !U71:-
a new permit has been issued. Sign Permits are not valid until the Building Commissioner issues use :-
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: z Date. la-1to Zrj
Property Owner Authorization: I hereby authorize theappl icant to act on my behalf in all matters relatedtoth is
sisnedapplication.(Signature). Date.
Email: A, �� na.\ .c.Otn
Approved b ` `� / )�
pp y Date. 1
With the following conditions:
I have read and understood the conditions ofthis Sign Permit listed above:
12/10/25,8:51 AM building sign PROOF 2.jp6
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DANCEPORT '
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