HomeMy WebLinkAboutCENTRAL AVE 29261_05-00004670city .ofl'istg11&WtE
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Application for Sign Permit
TYPE OF SIG':
Eucrmlc Nor} -EIFt_ TRIO:
No, _ ELECi U AL-
Fix tures
Device Boxes-
Outlets
Switches
Sign
Standing Sections
Transformers
Misc.
VALUATION S L+ i
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Canopy
Tract Sign
Ground
Wall
Roof
Construction
Change of Copy
Other
PROGRAMS
Shopping Center /Integrated Dev.
By Owner /or By Gty
Date letter sent:
Variance
Planned Signing
C.U.P. No.:
ILLUMINATION
Non- llluriunated
Interior Illumination
Exterior Illumination
APPOcATiON NO.
APPLICATION RECEIVED
DATE_ -i 2 : ` 7
Br
Building Address--, -
Tract - -Block /Page Lot• /Parcel
Owner s -Name
Maihng Address
City - State /Zip Code
CONTRACTOR
I "by-affirm that I -am _licensed -under provisions of Chapter 9
conuhenong wiih Section 7000) of Division 3 of the "Business and
Professions Code, °and my- lieense_is in -full force and effect.'
Ucense-No. - - City Business
and Class Tax No.
Contractor =s Name _3
Mailing Address
6a aS3o
City Stat #fZiv.Code Telephone
I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby
authoriz presenta gps off- -this city to enter upon the abovtimentioned property for inspection purposes.
Signature of Applicant or Agent Date
Form LE 2019 Apoicstiee hr titan &OH • t d 2