SA 83-34CITY OF CAMPBELL 1901 S. BASCOM AVE. SA 83-34 1 of 2
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^� CITY OF CAMPBELL ^
APPLICATION FOR SIGN PERMIT
BUSINESS NAME: Date:
ADDRESS OF
BUSINESS: i "" Telephone No.:
OWNER/APPLICANT Telephone No.:
Zip Code
SIGN COMPANY / Telephone No.:
Zip Code
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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 aoide by the Sign Regulations of the City and
the conditions of approval for this application.
f.,
Signature of•Applicant Signature ot Property Owner'
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SA e3 - 3-i
Approved as presented
Conditionally approved
Denied _
ARTHUR A. KEE, PLANNING DIRECTOR
/' '
by
G,
NEpiN
Glenn A. Belzer
Slgnage and related services nallonwfde I
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CITY OF CAMPBELL If
ATTACHMENTS TO BE SUBMITTED
WITH SIGN APPLICATION
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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. Elevetion showing 'ocation of sign on building and/or
2. Plot Plan showir,q
(a) Property lines
(b) Building location
(c) Sign(s) location.
C. Filing Fee: PERAIITS - Minimum of $40 or
1% of estimated valuation.
PRNALTY for not securing a
permit ... $40.
'If signs have been erected without a permit, the additional fee is required.
APPLICATION FOR SIGN PERMIT
SUPPLEMENTAL DATA
SAMPLE: SIGN DETAILS
SAMPLE: ELEVATION
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. man
SAMPLE: PLOT PLAN
RECEIPT
CITY OF CAMPBELL
CAMPBELL. CALIFORNIA
v
REVENUE ACCOUNT NO /
FUNND/NUMBBBER
(❑y�M,ONEv
ORDER
0 CASH
/yam DATE
AMOIINT
THIS EFCEIFT
MUST BE MACHINE
VALIDATED AND _ -'
SIGNED BELOW. �
0-:4 kit*!l0.0
176QO ••A
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CITIZEN COPY T1.4y-
CITY OF CAMPBELL
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CITY OF CAMPBELL 1901 S. BASCOM AVE. SA 83-34 2 of 2