HomeMy WebLinkAbout1201 Broadway - ApplicationCITY OF BURLINGAME SIGN APPLICATION
J PLANNIl�TG DEPARTMENT 696-7250
A Building Permit is
required before a sign
can be installed.
1. PERSON/COMPANY COMPLETING THIS APPLICATION
Name /19�%f;� �����"� L�-i,r Telephone ��'-. �/ � � j
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Company
Company Address %�>1' ��?.,_��i�c�i�' �
I hereby certify under penalty of
given herein is true and correct
and belief.
Siqnature '
Date
%/ -�` �- �`.�
2. BIIRLINGAME BIISINESS/ORGANIZATION REOIIESTING NEW BIGN(8)
Name and Address of business establishment/organization:
�f��lf C-� /%"Cl �f �%� %� �" I � r-
� / � /� �S�' s
Nature of business lJi 2-Z.,,�c�
Name of business owner 1/i //�''.�C�%
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G' �
Address of business owner /�� �': � � `L" /�a''� ,�j � � � /L �
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3. OWNER OF BIIILDING� STRIICTIIRE OR LAND
Name ��? �1 �i 1 S �✓'� l� �u�% S Telephone `� c� 3-��" �3 S
f-..//� !� 1� j;) /,L L!.,?— i�f� (� �!�. 4=; c�i �� , L)
I know about the proposed sign or signs, and hereby authorize
the above applicant to submit this application.
t ,I,�
s iqnature `�, � ��..� �`'�. : wl� Date 1� � � ' - > .S �
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4. PROPERTY INFORMATION �`' APN
Building Width `h� �T_ $uilding Depth �,� '
Lot Width �✓,5 �'� Lot Depth /Oc3 ' Height
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5. SIGN INFORMATION (PHOTOS CAN BE HELPFIIL)_
Number of existing signs on property C`�
Number of existing signs to r�main �') /
Number of proposed new signs /' Total# !
SIGN CONSTRIICTION DETAILS (TIIRN TO BACR OF THIS SHEET)
6. ADDITIONAL INFORMATION TO BE SIIBMITTED WITH APPLICATION
Site plan of property with all existing and proposed
signs labeled.
Elevations drawn to scale with all existing and
proposed signs in correct sizes and locations.
Dimension all letterincx.
1 TO BE COMPLETED BY THE PLANNING DEPARTMENT 1
Maximum siqn area permit ed by Title 22: -
Primary Frontage� 1.61U S � Secondary Frontage ���6N d S
Total siqn area propos d b this application:
Primary Frontage��.� N •Z Secondary Frontage
Signed• Date:
Building Permit may be issued: YES NO �--
Fee to be collected by Building artment $ Z 5
# `� -�/.
perjury that the information
to the best of my knowledge
SIGN A: (�) New sign () Existing,no change () Existing,new copy
Siqn type: Siqn Specifications:
wall sign �}- Area: (f� Z� SF) L: (5'�f'` ) x W; ( 3!,G�, )
ground sign ( )
pole sign O Single Faced O Double Faced ( )
projecting ( ) Overall Height ( ) Clearance ( )
other _
Copy�
�
. ,
Co colorl. Method of su a
PY rf'�.�Q�2=6��� Pport .� � ���f ���'C`G
Illumination Type cCX/°Ol�"� �rf�i� Hours
sIGN B: () New sign () Existing,no change () Existing,new copy
8ign type: Siqn Specifications:
wall sign () Area: ( SF) L: ( ) x W;� ( )
ground sign ( )
pole sign ( )
projecting ( )
other_
Copy,
Copy color,
Single Faced ( ) Double Faced ( )
Overall Height ( ) Clearance ( )
Method of support
Illumination Type Hours
SIGN C: () New sign () Existing,no change () Existing,new copy
Siqn type: Sign Specifications:
wall sign () 'Area:( SF) L:( ) x W:( )
ground sign ( )
pole sign ( )
projecting ( )
other
Copy
Copy color
Illumination Type,
Hours
SIGN D: () New sign () Existing,no change () Existing,new copy
Siqn type: Siqn Specifications:
wall sign () Area:( SF) L:( ) x W:( )
ground sign ( )
pole sign ( )
projecting ( )
other
Copy
Copy color,
Single Faced ( ) Double Faced ( )
Overall Height ( ) Clearance ( )
Method of support
Single Faced ( ) Double Faced ( )
Overall Height ( ) Clearance ( )
Method of support
Illumination Type Hours
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