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COMMUNITY DEVELOPMENT DEPARTMENT • SO1 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
Sign Permit Application
1. APPLICANT (person completing this form)
Name ��� �� Telephone
COfTlpany Superior Electrical Advertising, Inc. FaX
Address 125 N. Houston Lane Email
City, State & Zip Lodi. CA 95240
I certify under penalty of perjury that the information given herein is true and correct the best of my knowledge and
belief. 1 understand that a b� i� permit � required b a sign can be installed.
Applicant Signature � � Date i � / �
2. PROPERTY OWNER / ,
Name � vo ��'�f � �- \`-�f �S Telephone `-� 1 � - � l 3 `-�1 � D�
Address Z`� � El-, \5��t Fax 1
City, State & Zip .; �\� ��av✓i C�(' - O la Email -� k��b G. Ut i�a c�L ,
I know about the proposed sign(s and authorize th pli ant to submit this application. L��
Property Owner Signature '1-'�� � �%�C�/ Date �' � � � %
3. SITE ADDRESS 1230 BROADWAY Assessor's Parcel Number OZ6 - D`� `{'- l(o 0
T'cnan-}- � ,�
Lot Width � o o � � `�' � �+I�tt�g-Width � � - �
Lot Depth I 40• 3 0� Building Depth
4. SIGN INFORMATION (please attach photos)
# of Existing Signs On Property: 2 Proposed New Signs: 2
# of Existing Signs To Remain: �(reface) Total # of Signs: s
...............................................................................................................................................................................................................................................................
----------------------------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
Wall & Projecting Signs
Building Frontage #1: �v � / �
Building Frontage #2: �� � / �
Freestanding Signs
Parcel Frontage #1
, �
// iI
Parcel Frontage #2 / /
lb,l � I
3.�� � Z
/
30.1 � 3
3.4 , 2.
❑ Sign exception required
� Building permit may be approved.
'� d1--- � (o �� i4--
Approved by: �l Date:
�✓ Fee to be collected by Building Dept. � 47• � D
� Remember! A building permit must be issued before the sign can be installed.
U overforpage 2
S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.application.October 2008.doc Revised October 2008
SIGN A: X New Sign Existing, no change Existing, new copy
Sign Type: Sign Specifications:
❑ Window Sign (Length 16'-1 1/2" X Height 1'-0" )
�1 Wall Sign Sign area 16•l Square Feet
O Ground Sign
��, �� ; ❑ Pole Sign Overall height from ground �� r� � x
O Projecting Sign Clearance from ground to sign bottom ((o'-lv"
O Awning Sign X Single face Two-sided
❑ Other
Copy STARBUCKS COFFEE (changing existing green letters to white letters)
Method of support drive screws Illumination type none Hours
SIGN B: � New Sign Existing, no change Existing, new copy
Sign Type: Sign Specifications: � i_ c� �� �r-o�,,,�d>
❑ Window Sign (Length _ ��- � X Height )
❑ Walf Sign Sign area _3 -`� Square Feet �.1 � X Z>
❑ Ground Sign
3.4 ��❑ Pole Sign Overall height from ground
"� Projecting Sign Clearance from ground to sign bottom 9'-2"
❑ Awning Sign Single face X Two-sided
❑ Other
Copy (logo image)
Method of support thru bolt Illumination type L.E.D. Hours
SIGN C: New Sign X Existing, no change Existing, new copy
Sign Type: Sign Specifications:
❑ Window Sign (Length 3` X Height 3� )�ry vn d�
❑ Wall Sign Sign area _ I 4 Square Feet ' x2
❑ Ground Sign
�¢� ❑ Pole Sign Overall height from ground 12'-l� �'
�J Projecting Sign Clearance from ground to sign bottom °�'- �v "
❑ Awning Sign Single face X Two-sided
❑ Other
Copy (reface only)
Method of support Illumination type
Hours
SIGN D: New Sign Existing, no change Existing, new copy
Sign Type:
■
■
■
■
■
■
■
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Sign Specifications:
(Length X Height )
Sign area Square Feet
Copy
Method of support
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Illumination type
Hours
S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.application.October 2008.doc Revised October 2008