HomeMy WebLinkAbout1561 Adrian Rd - Applicationr f'R. . . . ...�,. �° ' ._ �,_ .:
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CON9IAUNITY DEVELOPMENT.DEP/1R7MENT • 601 PRIMROSE ROAD • BURUNGAME, CA 94010
p: 650.588.7250 � f: 650.696.3T9D • www.bu�iingame.org
Sign Permit Application
1. APPLICANT (persc
Name
Company
Address
City, State 8 Zip (
I certify under penalty of�
belief. I understand that' a
Applicant Signaturo
5
that
this form) .
'� l,_�c.��N� Telephone S1U�715- S�Fr4s
; c��. e� Fax s � o- � 3� -c; � r 5
`-` Email Z�vo��.:��: �,E�Rc�� �-:o�c�.�.t�aN.�• c�•,,�,
s� - �'� �C� O �
�t rmation given herein is true and correct fhe best ot my knowledge and
� i required before a sign can be installed.
_�
Date % d" 16� 1 Z,
2. PROPERTY OWNE �j .�(7-�G�-4 i �s �'
Name (�L�GI`� \���-�,- Telephone
Address I�. • i� i�='� �AV z, Fax
City, State 8 Zip S�N �'�I���C=�-c7, C`{��UL1Z7 � Emaii
1 know about the proposed sign(s)-e►�d authorize t e applicant to submit this application.
%,
Property Owner Signature � r � Date ^ d�1.� 1 Z
3. SITE ADDRESS �I5 � � �a�l �� ha �Assessor's Parcel Number
Lot Width �-� Building Width
Lot Depth � �j2 �- _ Building Depth
4. SIGN INFORMATION (please attach photo ) �
# of Existing Signs On Property: Proposed New Signs:
# of Existing Signs To Remain: Total # of Signs: }�
TO BE COMPLETED BY PLANNING STAFF
Maximum Sign Existing Sign Area/ New Signs — Total Site Signage
Area/ # Of Signs # of Signs to Area/`# of Signs with this
Allowed: Remain Application
Wa/l d Project/ng Slgns
FreesiendJng S)gns � ilq,bc�
/Pa�el Frontage #1 f ��- / � o � y'�''� IJ / � �� / r �a�. S�^^---� /
v��c K (L��1
Parcel Frontage �2 ! I l I
❑ Sign exception required
.�Building permit may�;
Approved by:
�Fee to be
Date: i o 2 1 Z
Dept.
�" Remember! A building permit must be issued beiore the sign can be installed.
7'� �S c��( �, � �,no., u over for pAge 2
P�� �`�... � c D p .
S:WANDOUTS !GN PERIWT app + dxuna�tsIS/GN.PERMIT.sppl'�cation.October 2008.dx
Revrsed October 2008
..
..,t
SIGN A: 7� New S
Sign Type:
❑ Window Sign
❑ Wall Sign
❑ Ground Sign
�.' Pole Sign
� Projecting Sign
� Awning Sign
❑ Other
Copy �� �-�
Method of support
SIGN B:
Sign Type:
■
■
■
■
■
■
■
Existing, no change Existing, new
Sign Specifications:
(Length X Height )
Sign area (I�,fi Square Feet
�
Overall height from ground � 0 ��
Clearance from ground to sign bottom . 2_
Single face � Two-sided
. �,�4,1_ - S�OC.�3�2�
� c"i" Illumination type
New
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
.ty� — �'a�2Tt��C+Pt. �F1(z:S�M�T'TRfi.� C►'J
� Hours
Existing, no change Existing, new
Sign Specifications:
(Length X Height )
Sign area Square Feet
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Copy
Method of support Illumination type Hours
SIGN C: New Sign Existing, no change Existing, new copy
Sign Type:
❑
0
❑
❑
❑
❑
❑
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Sign Specifications:
(Length X Height )
Sign area Square Feet
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Copy
Method of support Illumination type Hours
SIGN D: New Sign Existing, no change Existing, new copy
Sign Type:
❑
0
0
0
❑
❑
�
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Sign Specifications:
(Length X Height )
Sign area Square Feet
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Copy
Method of support Illumination type Hours
S:WANDOUTSISIGN PERMIT app + documenislSIGN.PERMIT.applica6on.October 2008.doc
Revised October 2008