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,BIJRIJNGAME City of Burlingame Sign Permit Application
���. , Planning Department ( 650 ) 6�6-7250
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� 1. APPLICANT (PERSON COMPLETING THIS FORM)
Name T �=�.�.�;���.� �V /�,!.i� �c �Lr- Telephone �5�� ��t��' ���3'? Z
_`��� I � ►= <> <� i_ t , �� �:a-.
Company & Address /J =-� ` ;�i= `_�1�,�� ; �•�,+�;� �- r,'� • Fax #<510 �`�(„- y z'7 ;
l certify under penalty of perjury that the information given herein is true and coriecf to the best of my
knowledge and belief. l unde�stand a bui/ding permit is requi�ed before a sign can be installed.
Signature
2. BURLINGAME ADDRESS OF BUSINESS/ORGANIZATION RECEIVING NEW SIGN(S)
���� ►.5 Ar�. �l�,\ � r� Assessor's Parcel # n2Gl - Zy 2- Z4 0
building width:
3. PROPERTY OWNER
building depth: lot width: lot depth:
Name�,�nS�i��,. D.��.�.�t�.1AM Telephone �SC��- 3y7- y�o�
Address �� C�L. ��,�,��, c� Dv .�'��rzL�•,ic. ,�n,, �_ C°A.
l know about the proposed sign(sl and authorize ihe applicant to submit this application.
✓ Date
4. SIGN INFORMATION (photos help)
# of existing signs on property: �(�
# of existing signs to remain: (�
Q complete the back of this sheet
proposed new signs:
total # signs:
5. SUBMIT THE FOLLOWING WITH THIS APPLICATION
� LZI Site plan of property with all existing and proposed signs labeled.
_ C� Elevations drawn to scale of all new signs and existing signs to remain. Show
correct sizes and locations. Dimension all lettering.
• TO BE COMPLETED BY PLANNING STAFF •
Primary frontage: �
Secondary frontage:'�
Maximum sign area & number of
signs permitted by Title 22:
Proposed with this application:
�� `� ,�: �;1: �i�{}��
J . .
❑ Sign exception required. � R E C E I V E�
Building permit may be issued. Approved by: �� �_ a e U�� ��000
�
CITY OF BU LINGA�J!c.
Fee to be collected by Building Dept: Remember! Abuildingpermitmus���`kad��'atb���,�
. _ , sign can be installed. r
SIGN A: � New sign
Sign type:
.�wall sign
❑ ground sign
❑ pole sign
❑ projecting sign
❑ awning sign
❑ other
❑ existing, no change ❑ existing, new copy
Sign Specifications: '
Sign area ,�O.o`t sf
(Length �c�'.'�'' x Height�'' )
overall height from ground
clearance from ground to sign bottom
O single face ❑ two-sided
COPY � �c,-� �.�, �� COPY COLOR(S)_ ���`; �
W�L� N1 u "i
METHOD OF SUPPORT �— �i IILLUMINATION TYPE I.,Er>rJ HOURS
SIGN B: ❑ New sign
Sign type:
❑ wall sign
❑ ground sign
❑ pole sign
❑ projecting sign
❑ awning sign
❑ other
COPY
METHOD OF SUPPORT,
SIGN C: ❑ New sign
Sign type:
❑ wall sign
❑ ground sign
❑ pole sign
❑ projecting sign
❑ awning sign
❑ other
� �..
METHOD OF SUPPORT_
SIGN D: ❑ New sign
Sign type:
O wall sign �
❑ ground sign
O pole sign
❑ projecting sign
❑ awning sign
❑ other
COPY
❑ existing, no change ❑ existing, new copy
Sign Specifications:
Sign area sf
(Length x Height )
overall height from ground
clearance from ground to sign bottom
❑ single face ❑ two-sided
COPY COLOR(S)
ILLUMINATION TYPE HOURS
❑ existing, no change ❑ existing, new copy
Sign Specifications:
Sign area sf
(Length x Height )
overall height from ground
clearance from ground to sign bottom
❑ single face ❑ two-sided
COPY COLOR(Si
ILLUMINATION TYPE HOURS
❑ existing, .no change ❑ existing, new copy
Sign Specifications:
_ ----Sign area sf��y.-:�-�.-.�. -: ;�, -;
. (Length x Height ) ...;,-, .
overall height from ground
clearance from ground to sign bottom
❑ single face �, two=sided
COPY COLOR(S)
METHOD OF SUPPORT ILLUMINATION TYPE HOURS