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SrGN ADDRESS
~ l_W. OJ1rjRe('W-:
ANC' y
SIGN COpy
DATE RECEIVED:
PERMIT NUMBER:
PHONE: 8Ltlo - 34?8
r - . CITY: e1 . STATE~ ZIP:~
e{ 50\1\ PHONE:)L 3n/;;p'i9.. 4~O J
ADDRESS: '{~f) \ l0. U.! \M.e..~. CITY: )(Cd\- 'M.e. \ STATE)(ll\\ ZIPX- 4bD3~
ZONING DISTRICT: r- \ .CVERLAYZON:E:31 _ 421_ 431_ OLD TOWN: YES_NO V
..
REQ'L1RED APPROVALS: Plan Commission Docket # _ BZA Docket # _ DOCS Only _
IS A.."'l IMPROVEMENT LOCA nON }IERMIT REQUIRED FOR THIS BUILDING/fENANT SPACE?
IF YES, STATE PERMIT NUMBER ISSUED __ .
SIGN TYPE..circle lDc: WALL ~uN?J ROOF PROmcr~USPENDED P~OW OTHER
NO. OF SIDES SIGN STAfiJicircle a~priate responsc(s)~ EXISTING RMANENT TEMPORARY
OVERALL SIGN HEIGHT FROM GROUND:,:) _FT. OVERALL SIGN DIMENSIONS: FT. x r3~ 1Q.!Q.. FT.
TOTAL SIGN AREA: Requested3(o~ lo_SQ.FI',PenniSsibJe SQ.FT. COLORS:Wtlt~~li.le
BUILDING OR TENANT SPACEFRONlAGB DIMENSION: -9. 0 FT. BUILDING TYPE:J \.'~, ,o~ ~ i\ t-
o .-:,') "\ <8: Leo. ~
SETBACK OFSIONFROMNEAREST RIGIIT-OF-WAY: ~ FT.
LOGO DIMENSIONS:' 'Nt &.-- . ~ . , LOaO IS ."V A--- PERCENT OF SIGN AREA
AREifHE EXISTING 1G .SONTIUSHITE? D~m.EXPLAIN~Sl ~~ dCJ
, ~~~e(j. _'~
ADDRESS:
SHOPPING CENTER OR COMPLEX l\fAME:
V; CERTIFY THAT A }'IC'ITJRE OF TInS SIGN WILL BE SUBMITTED TO THE DEPARl'ME.'IT OF COMMUNITY
- SERVICES WITHIN O'KE (]) WEEK AJITER ERECTION OF THE SIGN. .
-OR-
I WOULD PREFER A $93.50 INSPECTI()N FEE BE ADDED TO THE COST OF nns PERMIT TO COVER THE COST
OF THE 8T AFF OF TI:n: DEPA]~TMENr OF COMMUNITY SERVICES TAKING THIS PICTIJRB.
TWO COPIES OF THE FOLLOVII~G D()CUMf~NTATION ARE REQUIRED FOR THE REVIEW OF THIS SIGN
PERMIT:
* CO:MPLETED APPLICA nON
- * SITE PLAN (depicting all dinlensions, setbacks .and proposed sign location)
* SIGN ELEV A nONS (depicting all dimensions, copy and color)
. · BUILDING OR TENANT SP At:E ELEV A nOl~ (depicting frontage dimensions and proposed sign location)
* LANDSCAPE PLAN: RequlJ-ed for ground sign-s (depicting the planting, mature he.ights and caliper)
lie Se:e Samples Attached
SIGN PERMIT FEES:
.PERMIT APPLICATION .......................,..., $36.50
-SIGN ERECTION ...................~.......,I....u....$30.00 PER SIcJN FACE PLUS 51.60 PER SQUARE FOOT OVER 32 SQUARE FEET.
..RE.PLACEMENT OF SIGN FACE IN AN EXIST1NG CAJ3INET -$30.00 PLUS S] .60 PER SQUARE FOOT OVER 32 SQUARE FEET
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