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4� SY�� Zi���It�MMA'['il?N {�ahatos hei�► - pl�a�e akt��:t��
� ok� �edsting S`giis On PropertY� ._.._----. �------..._ P�opased Ne�w Sfgrt�� .�_..._.......__.--. .-
# af �.�s�it�r� Sfc�ns T�o Fcer��in: _�.___,_,.... Tc�ta�i # 5igns: .�.._.._..r..rC....,_.�..._....�
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��it� plar� c►f �ra�erty tp 5ca1� vsrith �II �;�a�ting �nd ��r�pased stgr�� Icbel�t�,
�5I tl�v�t�ons drawn to scale of dt0 n�w sig�s an� ��s�r�g sigrss ta rema`rn. Show cor�ect size� and
l�eatio�s. D'rrrie�s�an ai� lettering. 5how d�st�r��a fr�r� gracie to t�p a�nd �ot�c�rn �f t�h� si�n(5),
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�Fron�age:
..�-�_�-.-------TO BE Ct�MlPLER'�D �1Y �'Ll�lVMYNG STAFF---____....---..___�_____W--.�-_--_-
Maximum �7axlrnurn �xi;��ne� Sigr� New Signs - Ta�ai �E�e
Sign �1re�j# af Allow�d Abc�w� �4r��J� a�� �Pgrt� Al'�;c�/# Of SI�RS Slc����� 'Wii.h
Sigr�� A�Icavweci: �wrslt S'tc�r� {1�' t� R�masn "O�hhls ,ApplIt�at�t�n
From Grad�), `^�5;�,�c�,ept� r��,� .
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c� �igc� �xc�ptic�� ���r�a��ned
� Bu1ld�ng permiC rn,�
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A�pr�awed by: �--.... _
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t�( �e� t�a �c� �0!'1 t�y E�uildin9 ` ,�A�-..��.��.:...�...�._
�ter����b�r9 A t�ulldl�g p�rmi� meast b� I�s�ued �efare fi�� si�i� can � instailed.
Date: -� ���
R�-�e
a�.i� �.
�
City of Burlingame Planning Depa
SIGN A: New
Sign Type:
❑ Window Sign
❑ Wall Sign
❑ Ground Sign
❑ Pole Sign
❑ Projecting Sign
❑ Awning Sign
❑ Other
Copy
Method of
SIG�
New
Sign Type:
❑ Window Sign
❑ Wall Sign
❑ Ground Sign
❑ Pole Sign
❑ Projecting Sign
O Awning Sign
❑ Other
Copy
Method of support
SIGN C: New Si
Sign Type:
❑ Window Sign
❑ Wall Sign
❑ Ground Sign
❑ Pole Sign
❑ Projecting Sign
❑ Awning Sign
❑ Other
Copy
Method of support
SIGN D: New
Sign Type:
❑ Window Sign
❑ Wall Sign
❑ Ground Sign
❑ Pole Sign
❑ P�ojecting Sign
❑ Awning Sign
❑ Other
Illumination type ��1: �— Hours
F�cistina. no chanae Existina, new
Sign Specifications:
(Length X Height )
Sign area Square Feet
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Illumination
no
Sign Specifications:
(Length X Height _
Sign area Square Feet
Hours
Existinq, new
Overall height from ground
Clearance from ground to sign bottom
Singte face Two-sided
Illumination type Hours _
Existing, no change Existi
Sign Specifications:
(Length X Height )
Sign area Square Feet
new
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Copy
Method of support Illumination type Hours
S: �HANDOUTS�SIGNPER.fRM.doc
:nt 501 Primrose Road P 650 558-7250 F 650 696-3790 ww
n Existing, no change Existi
Sign Specifications: ,
(Length y X Height `i
Sign area I�_ Square Feet
new
,
Overall height from ground 1`�
Clearance from ground to si n bottom 1 D'
Single face � Two-sided
Re✓ised January 2006
City of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlinQame.orq
` ciTr o
�� � Sign Permit Application
BURLIN()AME
F�� p
1. APPLICANT (person completing this form)
Name l i L L. '
Company f3 �' S� e s Cc� Telephone (��'i GI �� �}� Z
Address 12.�- 13yn�u: �.•�� Fax C�rr� S�GG—S-��
City, State & Zip �Su� � n= c�m.� , C�� 5'S�'�
I certily under penalty of perjury that the information given herein is true and correct the best of my
knowledge and belief. I understand that a building permit is required before a sign can be insta/led.
Applicant Signature -�—'E' � Date �'�� j°/
2. PROPERTY OWNER
Name (< �' . 'v� fi� � C.C,C Telephone � � � 78 f - ��S �
Address �{-5-� YV1�n-� v»� �i►-� �T . �aU Fax c �,r ) �-3 � j 7 ��
City, State, Zip S� Fro^tic.r S� � c,� �� �I ��
I know about the proposed sign(s) and authorize the applicant to submit this application.
� Property Owner Signature
Date
3. SITE ADDRESS
Assessor's Parcel Number � Z(, �93 ��
, ,
Lot width � Building Width �' �
Lot Depth 7�� � ��" Building Depth 76 � 3�'`
4. SIGN INFORMATION (photos help - please attach)
# of Existing Signs On Property: � Proposed New Signs: d
# of Existing Signs To Remain: f Total # Signs: i
5. SUBMIT THE FOLLOWING WITH THIS APPLICATION
❑ Site plan of property to scale with all existing and proposed signs labeled.
�1 Elevations drawn to scale of all new signs and existing signs to remain. Show correct sizes and
locations. Dimension all lettering. Show distance from grade to top and bottom of the sign(s).
----------------------------TO BE COMPLETED BY PLANNING STAFF--------------------------------
Maximum Maximum Existing Sign New Signs - Total Site
Sign Area/# Of Allowed Above Area/# of Signs Area/# of Signs Signage With
Signs Allowed: First Story (12' to Remain This Application
From Grade):
Primary
Frontage: /
Secondary
Frontage: /
❑ Sign exception required
❑ Building permit may be approved.
Approved by:
❑ Fee to be collected by Building Dept.
/
/
/
Date:
Remember! A building permit must be issued before the sign can be installed.