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Sign Permit Application
1. APPLICANT (person completing this form) /
Name ���"� c�u�� Telephone �63r/�/��- �3�'`�l
Company ��2r<a�.�,rsr su�� Fax �a3/ �r�`� -`��?2
Address �ac� �f�=�-�-�- ��- Email �i��"�c�.tic�n��}�s��s-c«-�r
City, State & Zip s�-�r�a ��2-- r� �1s��er:'
1 certify under penalty of perjury that the information given herein is true and correct the best of my knowledge and
belief. 1 understand that a building permit is required before a sign can be installed.
Applicant Signature _.� �" � � - Date i �-���
2. PROPERTY OWNER
Name G4-����%-� iJi2 LLC Telephone Gsz��3`7a-`�X'�
Address � ��6 �.y�.r-r�s� ��n- Fax
City, State & Zip �3c��uj-�U�� c:¢ �>���v Email
1 know about the proposed sign(s) and authorize the applicant to submit this application.
Property Owner Signature �• F• CD/�SO I/. � Date 22• �� •??
3. SITE ADDRESS t� �4G�-���� ��11 Assessor's Parcel Number
Lot Width Building Width
Lot Depth Building Depth
4. SIGN INFORMATION (please attach photos) �
# of Existing Signs On Property: � Proposed New Signs:
# of Existing Signs To Remain: � Total # of Signs: 1�
----------------------------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 & Projecting Signs
g'�#� � Building Frontage #1: 3�0 `p / '�s, �,,� S i° � �1/ � S� �n �1 �'`b �/ "L s� �S I o"l � � �� � 5:�.5
Building Frontage #2: ��o / Ss; � 5 N /�. `Zl �7 / � 3;�v� �vl �'�1 / � ��
(/� ct j � Signs
�Ic���� Z a���ahhFrontage #1 �� � / S�'`K'"5 l� / � $ 2>''�`�j � S.�Y�" `�Z'� �/ 5 S���S
COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
❑ Sign exception requ
�' Building permit m�
Approved by:
t
Date: Z i� !f
� � �
� Fee to be collected by Building Dept. ��� _
� Remember! A building permit must be issued before the sigr��rr��rS��I�I,D
�'� C C \/ C
!! over for page 2
S:WANDOUTSISIGN PERMIT app + documentslSlGN. PERMIT. application.October 2008.doc
DEC 19 2011
Revised October 2008
CITY OF BURLINGAME
��r�_�; ": -�. i�_ �.
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
Copy �C� �
Method of support
L.c�c�
Hours
SIGN B: �_ New Sign Existing, no change Existing, new copy
Sign Type:
❑
�
❑
❑
❑
a
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Copy ���
Method of support
Illumination type
Sign Specifications: 4
(Length �t ' � X Height `?�- �� )
Sign area i2 Square Feet
Overall height from ground
Clearance from ground to sign bottom
�_ Single face Two-sided
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
Sign Specifications: ,,
(Length ? �-.j`'r.6 X Height '�`C> )
Sign area i�-3� Square Feet
Overall height from ground
Clearance from ground to sign bottom
�� Single face Two-sided
Copy �-Tm �
Method of support Illumination type L�T 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 G4PiL��
Method of support
Sign Specifications:
(Length `�'5-�/� ` X Height L�/ �� )
Sign area i� -�� l Square Feet
Overall height from ground
Clearance from ground to sign bottom
� Single face Two-sided
��
Illumination type
S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT,application.October 2008.doc
Sign Specifications: ,,
(Length � =.S ' X Height ��-S )
Sign area !�3 . 3�i Square Feet
Overall height from ground
�Cleara ce from ground to sign bottom
Single face Two-sided
�Gc�
Hours
L�J
DEC i 9 2011
Revised October 2008
CITY OF BURLINGAME
CDD-PLANNING DIV.
2�;.�,,,5 .� 1.e��O : �3_�'� �('ihev �iz� = 3S.�I-�
SIGN .��
Sign Type:
New Si
Existing, no change
, new copy
❑ Wndow Sign
[�. Wall Sign
❑ Ground Sign
❑ Pole Sign
❑ Projecting Sign
❑ Awning Sign
❑ Other
Sign Specific�tions� ,,
(Length 2� � �v �% X Height ��� )
Sign area �1 �j. �� Square Feet �
� o i--�I = �$ �� � � z S�zy,�'J
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
Copy Lv!'au �cvt��c: �
Method of support Illumination type 4>'v� 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
Sign Specific�tjons: ;,
(Length � l �'•-� %g I�C Height 2"2- )
Sign area "3"3-7 � Square Feet
Overall height from ground
Clearance from ground to sign bottom
_�� Single face Two-sided
Copy �1-'ZTT��-c::'D �/zv �.� .
Method of support Illumination type �j� Hours
SIGN �!r _� New Sign Existing, no change Existing, new copy
Sign Type:
❑
�
❑
❑
❑
❑
Window Sign
Wall Sign
Ground Sign
Pole Sign
Projecting Sign
Awning Sign
Other
Copy �'U��-L
Method of support
Sign Specifications�
(Length ll `� 5� ���/ X Height ��--
Sign area ;�/�r� Square Feet
Overall height from ground
Clearance from ground to sign bottom
_,� Single face Two-sided
Illumination type
Hours
SIGN 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
Overall height from ground
Clearance from ground to sign bottom
Single face Two-sided
�opy ������i�p
Method of support Illumination type Hours == r�L
�E.0 19 20 �1
S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.application.October 2008.doc ��.�2e�ised,Q��e�
I Y r liu
CDQ-PLANNING DIV.