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SIGN PERMIT WORKSHEET -~._._._..._..__..==----.~ ADDRESS: ., R~ ~ ~aj\ 7J(v d DESCRIPTION OF WORK: '):~~a..li ,'f" ~ LV a.il. .b--t~ LOT # ZONING: MAP # PARCEL APPLICATION DATE -- # ~ -.J.5-~1 .0/5.0- 00000""-"0010-- PHONE # (~)7g-.l. - 7L,,"3.~ STATE: EL- ZIP CODE:3lf.2.1..l.._ SIGN VALUE: $;7.1 ~L.f.o 0 ~~~~~~S~AME: . ~ ~~~~t':t r F:&-, ~ TYPE OF CONSTRUCTION: OCCUPANCY TYPE: PROPOSED USE OF THE BUILDING I SPACE L a..pv- ; '7 \ Z. z- a- +- rn 0 V"""'- PROPERTY FRONTAGE: 02 5 FEET: SQUARE FEET OF FACE OF BUILDING 375 ~ROUND MOUNTED SIGNSI PRIMARY SIGN: PROPERTY FRONTAGE SIDE SETBACK REQ. ALLOWABLE SQ FT --~-------------- --------------- 50' - 99' 10 FEET 32 SQ FT 100' - 199' 20 FEET 64 SQ FT 200' - 299' 50 FEET 72 SQ FT 300' + 50 FEET 96 SQ FT SECONDARY SIGN: 24 SQ FT : MAXIMUM HEIGHT OF GROUND MOUNTED SIGN: PRIMARY GROUND SIGN THIS SITE SECONDARY GROUND MOUNT SIGN FT X FT = TOTAL SQ FT FT X FT = TOTAL SQ FT - - - SINGLE OCCUPANCY: ~ALL MOUNTED SIGNSI PRIMARY SIGN: = 2 SIGNS NOT TO EXCEED 20% OF THE FACE OF THE BUILDING OR 200 SQ FT. SECONDARY WALL SIGN NOT TO EXCEED 50 SQFT . . MULTIPLE OCCUPANCY: 2 SIGNS NOT TO EXCEED 10% OF ~rHE FACE OF THE BUILDING OR 100 SQ FT SECONDARY SIGN = 24 SQ FT PRIMARY WALL MOUNT SIGN SECONDARY WALL MOUNT SIGN j 3.3~ FT X l.Q..FT = 2>3.~3TOT1\L FT X FT = TOTAL - - IS THE SIGN ILLUMINATED? YES: .,/ NO: TYPE OF ILLUMINATION: f\e.-or"'l ELECTRICAL PERMIT? Y: N: CONTRACTOR: l(3Jr D ~ L2- rn '-\ v-ur LOCAL LIC. # ADDRESS: 0... \ l -, Vel ~ ~ 1 . ,~ a..... s:..)- CITY: T Q..... ~ P a.. .. - STATE: f=, ZIP: 33(",(2... . APPLICANT SIGNATURE: MISCELLANEOUS REQUIREMENTS:___ PLANNING APPROVAL: BUILDING APPROVAL: LESS THAN SO' 10 FEET 24 SQ FT \