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Home My WebLink About100 California Drive - Applicatione � CITV O ��' ' � I i _--`��„_� ;��A.., e A COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010 p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org Sign Permit Application 1. APPLICANT (person ompletin this form)1 �3 -S'DZ 3 Name � QY I G ��q �phZi1 �!G Telephone 2.�9 � ' Company � 19 S I�r� � mU�.e.., 1hG Fax Address i2 SD S(.� i(S a n (,c1u� lln 1� i��ail �C�h'I C�GS(�,v� r mc�� u� City, State & Zip �'s��k.-�v� (,t� �TS2U S I certify under penalty of perjury that the information given herein is true and correct the best of my knowledge and belief. I understand that a building permit is required before a sign can be installed. Applicant Signature �/ �� /G�-� vc1�,-I�� Date fU �� 2. PROPERTY OWNER Qe ed Name (�{�'yj G� 1GI f►r'U 5 S U Telephone ��SU� 37 3-- Szzv � � `Ci�� Address Fax a k�� City, State & Zip Email 1� I know about the proposed sign(s) and authorize the applicant to submit this application. Property Owner Signature Date 3. SITE ADDRESS �(? O C-a� �%or �n � c, "17r • Assessor's Parcel Number dZ�'Z33-p � Lot Width Building Width Lot Depth Building Depth 4. SIGN INFORMATION (please attach photos # of Existing Signs On Property: S�e. �ow Proposed New Signs: ��'� ��'U # of Existing Signs To Remain: •li Total # of Signs: _ �� -------TO B E C O M P L ETE D BY P LAN N I N G STAF F-------------------------------- 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 (F- I►i 1 Building Frontage #1: 450 `� � S �A-Ei Building Frontage #2: 500� / 5r Freestanding Signs Parcel Frontage #1 / Parcel Frontage #2 ❑ Sign exception required � Building permit may be approved. OCT - 6 2�i7 �- �'�', 3 ab. b�, s / / Gi��'Y' �?; `,i,;;�Li^�C=; I;" �O Il I � 'Date: Approved by: � Fee to be collected by Building Dept. �' 22 S. n0 � Remember! A building permit must be issued before the sign can be installed. !! over for page 2 zi � � I 4�.2 �' i z 2 3'� � Z 3°t. '�'� � 3 � � , .._ �:; • � r � ''ia � �::., �,: � � � � `�, � �' .��- S:IHANDOUTSISIGN PERM/T app + documentslSIGN.PERM/T.application.doc 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 o - Ghc, vvb 1 �e -i� Sign Specification�s: � �� (Length �� 5 X Height � '� ) Sign area f3 � Square Feet Overall height from ground Clearance from ground to sign bottom ✓ Single face Two-sided copy L Method of : Illumination type Sign Specifications: (Length 1 �—'�" X Sign area lo- 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 Copy Ce r-� -�cd Se rv� c�. Method of support ❑ � ❑ ❑ ❑ ❑ ❑ Hours Hours SIGN C: New Sign Existing, no change Existing, new copy Sign Type: Copy L Method of Window Sign Wall Sign Ground Sign Pole Sign Projecting Sign Awning Sign Other Sign Specifications: � �� (Length i8'-5 X Height I -10 � Sign area 33 � g Square Feet Overall height from ground Clearance from ground to sign bottom ✓ Single face Two-sided Illumination type Sign Specifications: � �, (Length 5'-�'" X Height 4'� ) Sign area 23. ( Square Feet Overall height from ground Clearance from ground to sign bottom ✓ Single face Two-sided n,�8��k1 a�� B��c,�� port S� c,� I� n S 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 ! rr Height � -S ) Square Feet Overall height from ground Clearance from ground to sign bottom ✓ Single face Two-sided Copy � M G Method of support S�e �pl�tn S Illumination type Hours S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.application.doc 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: I �V�� (Length 3 �-I I" X Height Sign area S�`� Square Feet Copy 0 - �-a �. � ( � A C- Overall height from ground Clearance from ground to sign bottom Single face Two-sided Method of sup�ort Se� D la �S Illumination type Hours SIGN P: 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 lt�-(o'� X Height ��-�o�� ) Sign area 2i Square Feet Overall height from ground Clearance from ground to sign bottom Single face Two-sided Copy Pv"�1�! A r� Method of support Illumination type Hours SIGNCa: New Sign Existing, no change ✓ Existing, new copy Sign Type: Copy � Sign Specifications: (Length 8'�8" X Height �� Sign area l s.'l Square Feet Overall height from ground Clearance from ground to sign bottom Single face Two-sided �3 u i c,1� Method of support 5te T a`�S Illumination type Hours SIGN Fi � 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 � �-I'� X Sign area � • 1 Overall height from ground Clearance from ground to sign bottom Single face Two-sided � �� Height ( " 2 ) Square Feet Copy �a MG Method of support S�e ,c��^5 Illumination type Hours ❑ Window Sign � Wall Sign ❑ Ground Sign ❑ Pole Sign ❑ Projecting Sign ❑ Awning Sign ❑ Other �qo C��;�l�l �.�a S:IHANDOUTSISIGN PERMIT app + documentslSIGN.PERMIT.application.doc GM-FI Request for Signage Change Form Reason for Requested change ❑ Buy/Sell If Buy/Sell, has new dealer enrolled in CPO ❑ Yes ❑ No ❑*Change in Paragraph 3" ❑*Stock Purchase ❑DBA name change only j� Other (See below) Dealership Information �� g -� ( � Current Dealership Name �l> %/J �y✓�. BAC I"� ��"7 3 New Dealership Name (If Applicable) BAC Address where signs are installed �aZ7 G1� l. �l�D�N� �t � iZ City �J� LYJ� G'�� ST �i� Zip ��ll� Complete Applicable Sections Below Sign Removal a � Remove All GMFI Signs Has dealership terminated I—I NO �1 YES Termination date: ❑ Remove the Following Sign(s) ❑ Remove & Hold the Following Sign(s): ❑ - Name Change Dealer Name Panels to Read: (Show Exact Lettering, Characters, and Hyphenation) Franchise Chan e or U date Si na e�` ��w `° '"� '�-"�� Add: ❑ Chevrolet ❑Cadillac � Buick ❑GMC p 9 g � �'`'A �`� � �� ' � �� Delete: ❑ Chevrotet ❑Cadillac ❑Buick ❑GMC i1CT - � �Gi( Update;: a Chevrolet [✓]Cadillac [�Buick �GMC -,-,- :='="r"'. t ,�- _��?_;�,_.;i��:�i :�,-��:. , . . ' , '," . � '.`.� Dealer Contact: General Motors Zone Team Member Contact: Printed Name �p� 2 Printed Name N/A Phone # Sd - 3? - S' }, ZO Phone # N/A Emai� ��S��P��. �mail N/A Fed Tax # Fed Tax # N/A Signature X Signature X N/A CODE C CK D SURVEY FEES, TOTAL $300, ARE INCLUDED IN EACH QUOTE. PROJECTS INITIATE WITH CODE CHECKS AND SURVEYS. BY SIGNING THIS DOCUMENT, THE DEALER AGREES TO PAY FOR ALL COSTS ASSOCIATED WITH THIS PROJECT FOR WORK THAT IS COMPLETED. BOTH SIGNATURES REQUIRED TO PROCESS ORDER; PLEASE FAX COMPLETED FORM TO 866-418-9462 (or email: e-gmdi@agisign.com)