HomeMy WebLinkAbout1235 Burlingame Avenue - Application' �y. :,:� y.. �� �,:.:,.� � F7 � � �i2v� �d�
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COMMUNITY DEVELOPMENT DEPARTMENT • 5O1 PRIMROSE ROAD � BURLINGAM�;'G�A� 91404�tlf��
p: 650.558.7250 • f: 650.696.3790 • www.burlingame;org
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Sign Permit Applicatio�-- �, ,-
1. APPLICANT (person completing this form)
Name � %E,1/1_ > �i% �s2� �' �C% Telephone � :� � � 2 ,� :S-`�/�i' 7
Company Fax
Address �� Z- !-vct�=>fl-v�;�' i� Email�������t?`.� -� � ��n.��y� ��_
City, State & Zip � ��, ��,c����:Kzc, �,, �
I certify under penalty of perjury that the information given herein is true and correct the best of my knowledge and
belief. I undersiand that a building,permi " req d before a sign can be installed.
Applicant Signature,��� � � --�'� _ Date � �� /�
2. PROPERTY OWNER ' '
Name --��t�-1i?� LL�_ �,+1� Telephone �-�� `��'���-_ �
Address L�� �_ � w-� ,� �q Fax
City, State & Zip � G�:ti�`^�-r i'�'�' - '�b I Email t-����'r'�� �� ���.4 vC� u��,.� �CDt'�
! know abouf the proposed sign(s) and authorize the a�nt to submit this applicafion.
�'�- � �\ ,- � ��ti_ C t`�� `
Property Owner Signature Date
C�'�.�_`
3. SITE ADDRESS / � ,�� /� �'k����ti �Cr�'!�i � �'"�-�'�= Assessor's Parcel Number
Lot Width � y` Building Width 7�/ �
Lot Depth Building Depth
4. SIGN INFORMATION (please attach photos)
# of Existing Signs On Property: � Proposed New Signs: % �i i�Z��% (�=)
# 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
Wal! & Projecting Signs ,
Building Frontage #1: �% / / �
Building Frontage #2:
Freestanding Signs
Parcel Frontage #1
Parcel Frontage #2
/
/
/ /
❑�� n exception required
t�' Building permit may be approved.
( ,°y /,� B - .
Approved by:
�Fee to be collected by Building Dept. � ��� C� �`�
�-s►�, �.
/
/
Date: � LS 1 �5
� Remember! A building permit must be issued before the sign can be installed.
!! over for page 2
S:IHANDOUTSISIGN PERM/T app + documentslSlGN.PERMIT.applicatron.October 2008.doc Rev/sed October 2008
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/
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SIGN A: 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 -7' `3 � � X Height L`_�l r � )
Sign area z/.. � y Square Feet
Overall height from ground l I
Clearance from ground to sign bottom ��
_�� Single face Two-sided
Copy �� ��i2 c� f 5�� �°�z..s
Method of support Illumination type l�= �� Hours
SIGN B: 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 z'- C, `` X Height t-E� )
Sign area .3, 75 Square Feet
,�
Overall height from ground �%/ �� �
Clearance from ground to sign bottom
Single face � Two-sided
Copy � N-�� � t C. -.� S�c'c- S
Method of support Illumination type /�.'�1�.-'.�,t� Hours
SIGN C: 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
SIGN D: New Sign Existing, no change Existing, new copy
Sign Type:
■
■
■
■
■
■
■
Wndow 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:WANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.application.October 2008.doc Revised October 2008