SA 83-28CITY OF CAMPBELL 3501 S. BASCOM SA 83-28 1 of 2
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CItiY OF CAMPBELL
APPLICATION FOR SIGN PERMIT
BUSINESS NAME: ///)f'.� �/2Ii �/77f'/� Date:
ADDRESS OF
BUSINESS: �� / .� Q� L�/�% Telephone No.:l�
ONNER/APPLICANT / Telephone No.: 7� 7V
// Zip Code l%rmfR
SIGN COMPANY G/ lf'Li�<<,O) S / Telephone No.: �)/ 3
,16-1 1211W1,242 j,7nYK7
_'<217, 7e�;-r- _ Zip Code y�- 7j
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In accordance with Sections 21.68.030 and 21.68.110 of the Municipal Cede of the
City of Vimpbell, the undersigned hereby makes application for approval of the
attached sign plan and agrees to abide by the Sign Regulations of the City ane
the conditions of approval for this application.
i�AppTi Signature �a
Signatu: of Applicant � gna ure Property er
SA - - 2 if
Approved as presented
Conditionally approved
Denied
ARTHUR A KEE, PLANNING DIRECTOR
by
L� J
CITY OF CAMPBELL
ATTACHMENTS TO BE SUoMITTED
WITH SIGN VPLICATION
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) Sign(s) location.
C. Filing Fee: Basic $35.00
Penalty $25.00*
*If signs have been erected without a permit, the additional fee is required.
J
RECEIPT
CITY OF CAMPBELL
CAMM ELL. CALIFORNIA
NAME /
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ADDRESS /6,-) I
FOR
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REVENUE ACCOUNT NO
FUNDNUMBER Qi
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�C11ECH^375 ] MONE.ORDER CASH
7
DATE AMOUNT
THIS RECEIPT d •+''*35.N
MUST BE MACHINE f
VALIDATED AND
SIGNED BELOW,
16779 .. L ffi/- . —
CITIZEN COPY Th * r«
CITY OF CAMPBELL
CTTY OF CAMPBELL 3501 S. BASCOM SA 83-28 2 of 2