HIGHLAND AVE-TRADERS WAY - BUILDING INSPECTION A� yt`` .� t/N�u�mbe
APPLICATION FOR PERMIT TO EREQiC``T�5PQ1`� `
RE NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORFF,,��I�_GN IS J E? qO1
T 81QF:!
1 � Location, Ownership and Detail Must Be Correct, �} L
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To the Building Inspector:
The undersigned hereby applies for a permit to ❑ Erect, ❑Alter, ❑Repair a sign on the following described buildings:
AddressStreet
1 ) r p ❑Urban Renewal Area ❑Entrance Corridor
(((,f�/ ❑ Historic District ❑ None
•
Telephone _ 1 0 floor
• 2no floor
Address 51 3 floor
Telephone _ ( 4 floor
E-mail How many businesses are in the building?
If a corporate body,name Frontage
of responsible officer
Building linear feel
Construdom Sup's License No Applicant's Space(if multi-tenant) linear feet
Address L _ d G rip' linear feet
Telephone v`� — i Mail Sign Permit to
E-mail ( 4�S ❑Sign Owner ❑Sign Erector o Other.
Proposed Signs(If more than three signs are proposed. attach additional sheets)
Si n 1 sign 2 Sign 3
Surface ASurface ❑Surface
❑ Right Angle to Building ❑Right Angle to Building ❑ Right Angle to Building
❑ Free Standing ❑Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑ Portable(A-Frame) ❑Portable(A-Frame) ❑ ortable(A-Frame)
in Other(specify) ❑Other(specify) >Q0ther(specify)
Si Materials �y Sign oftrals C I Sign a ri s
Sign ir�lensi9pS (�( ' � )� Sign Dipegs'on?/ I 4/ Sign
Sign Ary /� Sign Area / Sign Area/ X
/14 s R sq ft sq It
Sign Height(if free standing) Sign Height(if free standing) -- Sign Height(if free standing)
Estimated Cost of Net Work n 1
$ TjL LU V
. .
Signs
Type Existing Sign Area To Be Removed? Sign Owner
❑Surface sq ft ❑yes ❑no
❑ Right Angle to Building sq R ❑yes ❑no
Free Standing sq It ayes no ft ❑ Sig' ryb jes Auth iri Re esentative
❑Awning sq yes ❑ no {
❑Other(specify) sq ft ❑yes ❑no
Property�Owner
v, r) L( � ,Sax ,8 )r�a) I ,u �S��JJ
Internal Review
ing&Commu ity Development Department Historical Commission
Approval
1777
Building Inspector
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