HomeMy WebLinkAbout1095 Carolan Avenue - Application� CITV O
�i;�i i
-��\� �,�
�qs
Sign Permit Application
� ,� , �,
F� � 2�}l!u
cm' OF BI�RL�r��:�,:�,f;�=
1. APPLICANT (person completing is-form�.. ,. � '`; �' ': ?��.n�r��n�� r�.a�
,�', ., sU� aS S- 4��� 7
Name S7"� '�= ! �i���s� �-' _ Telephone /{
Company �'..,-c �f.) ��c., -�-/� �=r S;G- �� C G'_ _.. :..Fax __ 5�i �' � '3_3Z�-'?,��3 c�
Address �7%l �il ' c���.� /J �Sti'i ✓2 ,� . Email
City, State & Zip f' �l �� � �4-;� �� � i� �i ��` "�- �
I certify under penalty of perjury that the information given here►n is true and correct the best of my knowledge and
belief. 1 understand that a buil ' permit is required before a sign can be installed.
Applicant Signature -e c°'� � =� Date %� �� �� �
2. PROPERTY OWNER —
Name �= �� `� `= i �-�%� , �i , � �� Telephone � �'Z . 3L/.�_ C///
Address //j i l' ���� / i�-�, i�; � z� Fax � S U_,-�.7c� �2
City, State & Zip ��ii�� l� ,c c� /-1, ti� �= Email
1 know about the proposed sign(s) and authorize the applicant to submit this application.
Property Owner Signature S� ,�r� � �'l ���/�� �/�''��� Date
3. SITE ADDRESS �%(' �' �� !� ` ��X' � � ' `- _ Assessor's Parcel Number
N
Lot Width �� . Iti .66� Building Width ���
Lot Depth A N.d � Building Depth
4. SIGN INFORMATION (please attach photos) ����`,�t��i,<a'I Si<-'�.��
# of Existing Signs On Property: 2- Proposed New Signs:�L7=�
# 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
Wall & Projecfing Signs
Building Frontage #1: 5+ v►�/ Sb
Building Frontage #2:
Freestanding Signs
Parcel Frontage #1
Parcel Frontage #2
� ' i �►Sa
n �A
V� /f—
❑ Sign exception required
�- Building permitC�
Approved by: { � 9�"
I� I . `�b � g�
� H I• f� � 1 s� y�."
/
/
Is� � S�
I S. s;
/
/
�s�. � � Z 5i �
� �}. I A�! Z �,`�j.�+^�S
Vl / �
V� / o`.
Date: IZ
L.__,.. � U �-
� Fee to be collected by Building Dept. �3�
� Remember! A building permit must be issued before the sign can be installed.
!! over for page 2
COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLING���►, 9,4��'�'O� '{,�
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.applicafion.October 2008.doc Revised October 2008
���" ��' � i ���� � � � ��� ��
SIGN A: :SC-� �_ New Sign Existing, no change Existing, new copy
Sign Type:
❑ Window Sign
,�Wall Sign
❑ Ground Sign
❑ Pole Sign
❑ Projecting Sign
❑ Awning Sign
❑ Other
Copy %�t��) t G�
Method of support �
Sign Specifications: I ��
(Length � �' � � � X Height L/ � - /� )
Sign area l_S Square Feet
Overall height from ground /� �
Clearance from ground to sign bottom /�-'
� Single face Two-sided
,� � �
: �i', ',� �-�
%� �;.}�-� � Illumination type /=L���.2 Hours
SIGN B: S'�y �3 New Sign Existing, no change Existing, new copy
Sign Type:
❑
�-
❑
❑
❑
❑
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Sign Specifi�ations: � � ; l
(Length � �' X Height L/ -� � )
Sign area / 5 Square Feet
Overall height from ground � �
Clearance from ground to sign bottom �`z-
� Single face Two-sided
Copy �i� l/�) � C' f=—o2 �Tl l�� i��7 �%� ,� C �[',f� �r�l'� --
Method of support Illumination type 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
Copy
Method of support
Sign Specifications:
(Length
Sign area
X Height )
_ Square Feet
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:
❑
❑
❑
❑
❑
❑
❑
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Copy
Method of support
Sign Specifications:
(Length X Height )
Sign area Square Feet
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Illumination type
Hours
S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.appfication.October 2008.doc � Revised October 2008
�
LETTER O�'Ai17'.FX4,lLIZAT.IO.N
Proveriv awner / A.�em# T�o�oaaticon.
Compa�ay �Taiao�e:
��LTd� �D!
Ma�iliwg ,A�ddxess:
�'b / O ��7/�c LC%v
����4�� �� ���a
,� . ,�'��.r �,�vv�►f
Colo�tact:
TeX:
b50-_3�� oi//
I'a�:
� 5b-- 5 �9- 4� ��,
Email:
CS/�,0�`�i� /"�C�Y � i3Y5 . /'�ir�
- y
Srte Address inform�tion
.5,�!`9��
Coutact:
TeI;
Fag:
Email:
1, (�Ll�as�C �PI��r�r rLA�Ma� ��A*' �.�".r ,�� , � wn.er nt of
� � 9��v
properiy, �ive 1'A2''I7SON SIC'xN GRO�' authoz7zation to insta.Il sigxzage at fhe above
mentio�ed propezty.
(Location Szte), /O /O
This letter shali also serve to authozize ,I'ATTISON S,IGN GROU,�' to act as ouz agemt whezi
applyiu�g �o� t7i.e mecessary municipal approvals and permits.
Date:
Signatoure �f Prope�ty 4wmer/Agent:
Legal descz�i�pf�ivm o� pxopex-fy:
���C;��`���
;��C � 0 200�
✓�Ty pF f3�!��iNGAME
.. • � F=.PT.