SA 82-78CTTY OF CAMPBELL 2160 S. BASCOM AVE. SA 82-78 1 of 2
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CITY OF CAMPBELL
APPLICATION FOR SIGN PERMIT
BUSINESS NAME:�r_ S Date:
ADDRESS OF 7�
BUSINESS: /�,^ (� Vof (4!/) ) Telephone No.:
OWNER/APPLICANT /Q/C% �, n(///(Yi C'/ Telephone No.:
Zip Code
j SIGN COMPANY (Ci� ��/) <�/�j/1 C Telephone No.:
Zip Code
In accordance with 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 to abide by the Sign Regulations of the City and
the conditions of approval for this applicatior.
Signaturyr of Applican igna ure o Prope y Owne
SA fj— %�
Approved as presented
Conditionally approved
Denied
ARTMUR A. KEE, PLANNING DIRECTOR
by
M- CITY OF CAMPBELL
ATTACHMENTS TO BE SUBMITTED
WITH SIGN APPLICATION
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 locations (3 copies)
1. Elevation 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 — $35.00
Penalty E25.00•
*If signs have been erected without a permit. the additional fee is required.
APPLICATION FOR SIGN PERMIT
SUPPLEMENTAL DATA
SAMPLE: SIGN DETAILS
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SAMPLE: ELEVATION
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SAMPLE: PLOT PLAN
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RECEIPT
CITY OF CAMPBELL
CAMPULI.. CALIFORNIA
NAME
ADDREss
FOR_ S/A—ig
a _t30
REVENUE ACCOUNT NO 1 1 �7 /
FUND NUMBER W
90- 37s 3'
❑ MonEv ORDER ❑ u5H
WW
AMOUNT
.All
THIS PEC''
IPT - -7 a ## # fC
MUST BE MACHINE r=C--1-�- L- �J•�"
VALIDATED AND
SIGNED AELOM. rsc
) 8 0 4 A.
CITIZEN COPY TIw yea
CI�I OF CAMPHE LL
w.
s
91
CTTY OF C'AMPBELL, 2160 S . BASC'OM AVE. SA 82-7 8 2 of 2