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HomeMy WebLinkAboutSign Permit 10-009 - Buffet Place DIRECTIONS: One completed application is required PBR SIGN. 1. PROPERTY IDENTIFICATION NO. SIGN PERMITS WILL NOT BE PROCESSED IF T1•#EY ARE INCOMPLETE. 2 -~ ~~7Q • O ®.~. 6 2. SITE ADDRESS: ~ ~~U n )~~ t ~ S~ S~ i ~~ ~ ~ jv 3. ZONING: ,/~ `C 4. APPLICANT: (NAME) (ADDRESS) (PHONE) I~t~~.k-e-~ ('~ lam G~~ ~~~,~5~_ ~sz-~zts 3~~9 S. OWNER: (NAME) (ADDRESS) (PHONE) 6. TYPE OF SIGN: (Please circle) a. TEMPORARY: Balloon Slgn BonnerSlgrr Canstrudton Sign Off-Premise Dtrectiorral Sign Portable Sign Streamers and Parnants Slnef Banner Temporary &'gn PROPOSED DISPLAY DATES: From: / / To: _/ / b. PERM1fANENT: Awning Sign Lake Seivice Slgn Marquee SJgn Freestanding Sign oardSJga On-Premise Directional Slgn Permanent Window SYgn Subdivision ldenij/icatlon Stgn a!!~S 7. SIGN DIMENSIONS: /q/ rN~/,e f 8. TOTAL WALL AREA: (Total area) (Height) (Width) (Depth) 32 s . ~>< ~~ ~ y,~ HL'f / i/YiNS 9. PERCENT OF WALL COVERED BY SIGNAGE: 10. TYPE OF CONSTRUCTION/MA,TERIALS: 11. ESTInfATED vALUE of SIGN: n J _~, /~- ~/G~r - 12. COMPLE7TON DATE: A sign plan must accomp any this application. Please attach a scaled elevation drawing of tlfe total building front to which the sign is to be affixed, accurately locating the sign. If the sign is Freestanding, attach a scaled site plan showing the enact setbacks of the sign. The applicant is responsible for obtaining a building permit for freestanding signs over 6 feet in height. I hereby certify Ih9t I have famished infomtetion on this application, which is, to the best of my knowledge, W e and correct. I also certify that l am the owner or authorized agent for the above-mentioned property, and that ell conshuetton will conform to all existing state end local laws and wil(pmcaed in accordance with submined plans. I em aware that the City Planner can revoke thts perm(t forjust cause. FvrtheYmore, I hereby agree that Ciry Officials or a designee thereof may enter upon the property to peri'orm eded inspections. SIGNA PROPER OWNER/AG73NT DA This Application becomes your Sign Permit when approved. ~~~~30 ~~ FOR ADMIMSTRATIVB USE ONLY: ' Permit Fee $ .~ (Note: Permit fee is set at ttma of application according to approved schedule J ~-~-f 3 2,~ /d CITY PLANNER OR DPSIONBH ~ DA Thts is to certify that the request in the above applteatlon and accompanying documents is in accordance with the City Sign Ordinance end ;nay proceed~as requested. This document, when signed by th~CttyPlannerordesigneeconstltutescomplianc~withtheSignOrdinance. , Speoiel Conditions: 24 Hour Niitlco for Alt Inspections 447.4230 from 9:00 a.m. - 10:00 a.m. h:\lamplatesltignfonn.doo '~ +.+1 T afie~ OL869"ZZZTZT ~~ St 5 ~n J E~ e ~ ~ ~ p s: ~'.~j r ` n t ~ ~- d~~ ~ ~ ~ ~ ~, "~.. ~~ ~~~ 2 i~ s~ ~ ~ ~ ,~ A ~ W ytd ~ -~- t ~ ~s mE~ 7~S 4~ Y' 47J W ~ y ` ' ~ j K SS 7 a ~ ~ ~ ~ J - y L ~ ~ j U s ...... ~ }'. 7 ~ a ~ XopUCv ~ ~ ~ ~ ~~ ~ ~ ' pp y`~ oo '~ [i p t~ S 6 ~ . y~ ~ W 9 G ~ ~ m a a N C.1 cn N Chi ®~ v 90~9T OTOZ'0"I, HV63 .~ `~ \]]] Q~U z~Y x u~ o ••~ ~~~ W~~ Z~ryryI RO S~~ N m ~. G w~-W