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' 0925804-1 0002 09/15/2009 002 102 <br /> I _,u,. 1 r— ..L,c )4, 431..:1 <br /> City of Anacortes <br /> Sign Permit Application <br /> Owner/Application Information <br /> Site Address: / 0/41 k S� Parcel No.: <br /> Lot: Block: Addition: <br /> Owners Name: \pa f/cam �!ti(the fS Phone No.: <br /> Address: /0/1 ii764 Sr- State: /O c2- Zip: /Q <br /> rzz/ <br /> Contractor Information // c <br /> ely s A. v� hone No.: �/q p 0 c{ 0 <br /> Sign Contractor: ,U/ �y,/' Si S � <X C / <br /> Mailing Address: �! �2 A-/C C4 State: (th'. Zip: 9 J ZZ / <br /> State Contractors License No.: -ftL{-S S 7Ec 110 j Exp. Date: 9i / 7 tO ft <br /> ten <br /> General Information <br /> No. of Existing Signs: ��/` Gross Area of Existing Signs: A774 sq.ft. <br /> Total Lineal Feet of Building Frontage: Side 1 3 0 ft./Side 2 � 3 ft. <br /> Proposed Sign Area: L (v sq.ft. <br /> Type of Sign and Number of Each: Wall (/ Projecting Free Standing 1�' <br /> Pole Electric Non-Electric 2,000 , U 1 <br /> Value of Sign(s) (labor and materials) $ �a <br /> l\ <br /> coNote: No Moving Parts or Lights are Allowed J <br /> Application Checklist &Id-ao—05c,79 <br /> Please include the following items with application if applicable. - 21 <br /> 1. A sketch showing building frontage area. g 3 <br /> 2. A sketch showing sign, lettering, sign area, sign location, and sign height from <br /> grade. <br /> 3. Detail(s) of the sign support(s) and all structural connections. <br /> 4. Indicate setbacks from property line. <br /> 5. Electrica ork requires a permit and inspection from the Department of Labor <br /> and In tries. _le se ca em at 360-416-3000. CyA <br /> /C9 <br /> Signature: Date: / / <br /> Applicant or Owner <br />