SA 82-31CITY OF CAMPBFLL 2205 S. BASCOM AVE. SA 82-31 1 of 2
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CITY OF CAMPBELL
11 APPLICATION FOR SIGN PERMIT
BUSINESS NAME: j psnOS 4 n e 11t7ri) Ce Date: L
ADDRESS OF
BUSINESS: 2 Z /',f -S Telephone No.: 3'7/ — C `t /►
OWNER/APPLICANT Telephone No.:
Zip Code
SIGN COMPANY �CTi Ue .S,`gf. !d Telephone No.: 7-Yjel
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L3
SHF Je Sc %,I4. _ Zip Code 9,3'/ 33
---------------- -- -- ------ --- •-- ---- -- - - - - - -
In accordance wi.h Sections 21.68.030 and 21.68.110 of the Municipal Code of the
City of Campbell, the undersigned hereby makes application for approval of the
attached sign plan and agrees tc abide by the Sign Regulations of the City and
the conditions of approval for thi; application.
nature of Applicant Signature o Property Owner
cT: v c S%5"' "
-------------------------------------------
App ted
Conditionally approved
Denied
ARTHUR A. KEE, PLANYI�NG /DIRECTOR
by ��/
1
CITY OF CAMPBELL
ATTACHMENTS TO BE SUBMITTED
:WITH SIGN APPLICATIOPI
A. Scale drawing of sign (3 copies) showing:
1. Dimensions
2. Height
3. Letter size and style
4. Colors
5. Materials
6. Illumination.
B. Scale drawing of sign location (3 copies)
1. Elevation showing location of sign on building and/or
2. Plot Plan showing
(a) Property lines
(b) Building location
(c) Sigr(s) location.
C. Filing Fee: Basic S35.00
Penalty S25.00*
*If signs have been erected without a permit, the addition,l fee is required.
APPLICATION FOR SIGN PERMIT
SUPPLEMENTAL DATA
SAMPLE: SIGN DETAILS
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CORINTHIHOU
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SAMPLE: ELEVATION
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SAMPLE: PLOT PLAN
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CITY OF CAMPBELI_
I AM PpELL. t.ALIF UHNIA
Y! �(
NAM
soothe. 55 6' � �3
FOR
REVENUE ACCOUNT NO
FUND NU((//MBER
;L'? _J rr-,� O u MONCASH
05re
AMOUNT
THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED 6ELO-
i 9225
OTiIEN Co" Th" T.Iw
C ITY OF CAMPS E Le O
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7
CT TY OF C'AMPBFLL 2205 S . BASC'OM AVE. SA 8 2 - 31 2 of 2