SA 82-65CTTY OF CAMPBELL 3555 S. BASCOM AV/T. SA 82-65 1 of 2
7
•sld+ esaH aQ ssvD
S9-Z9 VS 'HAV WD'JSVH 'S SSS£
a�
L�A
CITY OF CAMPBELL _
APPLICATION FOR SIGN PERMIT
BUSINESS NAME:( ���9 1J.� / C-' Date:-
BUSINESS ADDRESS OF �i S S —�` 9 D
Telephone No.:
OWNER/APPLICANT L/l��f (� /� T Cam_ Telephone No.:
Zip Code
7//�
SIGN COMPANY Telephone No.:
� � ��qn� �O U�' C� �-
. Zip Code �. S / C G
----------- ----- -- --- -- --- ---- -- ---- ---- - -
In accordance with Sections 21.69.030 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 to abide by the Sign Regulations of the Citf and
the conditions of approval, for this application.
i re of Appli ant gn ure o rop Omer
---------- -- ----- - - - --- - - - - - - - - - - - - - - - - -
SA — G
tioproved as presented
Conditionally approved
Denied
(` Cc
ARTHUR A. KEE, PLANNING DIRECTOR
by
y. CITY OF CAMPBELL
ATTACHMENTS TO BE SUBMITTED
(r _ WITH SIGN APPLICATION
J `
A. Scale drawing of sign (3 copies) showing:
q 1. Dimensions
2. Height
3. Letter size and style
i
4. Colors
5. Materials
6. Illumination.
B. Scale drawing of sign location (3 copies)
1. Elevat',on showing location of sign on building and/or
2. Plot Plan showing
(a) Property lines
(b) Building location
(c) Sign(s) location.
C. Filing Fee: Basic $25.00
Penalty $25.00*
*If signs have been erected without a permit, the additional fee is required.
APPLICATION FOR SIGN PERMIT
SUPPLEMENTAL DATA _
SAMPLE: SIGN DETAILS
SAMPLE: ELEVATION
.�Illllliilllllllllllllllllllllli i� �r�r�tttrrtitttrtnrn��t�ti�iurm���.
SAMPLE: PLOT PLAN
RECEIPT
CITY OF CAMPBELL
C. AMPBELL. CALIFORNIA
NAME ( ' Q a a GI A-V -A-
21 �S SN . !✓QA C�6s�r T
ADDwF �. •. -
e
REVENUE ACCOUNT NO
FUND NUMBER
_7
t rIF� K
MONE♦ ORDER
CASH
AMOUNT
THIS RECEIPT
MUST BE MACHINE
Q`� GG.^_
(;-� •10♦r�..
VALIDATED AND
-TQ ..*•35.C�:.
SIGNED BELOW
12121
CITIZER COPY
Th-A You
CITY OF CAMPBELL
C'TTY OF CAMPBELL, 3555 S. BASC'OM AVE. SA 82-65 2 of 2