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<D\ SNP <br /> City of Madison (OFFICE USE ONLY) <br /> tgm Application for Sign Permit Date Received:_ <br /> Date Given to UDC: - <br /> Date Called for Payment: <br /> INCOMPLETE OR INACCURATE SUBMITTALS MAY RESULT IN DELAYS TO THE SPECIAL CONDITIONS: <br /> APPROVAL PROCESS O UDC District <br /> ❑Historic/Landmark <br /> Please check one: NEW SIGN Q CHANGE OF COPY O RPSM <br /> (Requires Existing Tag# ) PUD-SIP <br /> 2 L r <br /> APPLICATION DATE: 3 i t/ I TAG#: ZONING DISTRICT: PERMIT# <br /> ADDRESS OF SIGN LOCATION: *• � �� )" !'2 g <br /> SIGN ERECTOR'S NAME,ADDRESS&E-MAIL: SIGN OWNER'S NAME,ADDRESS,ZIP CODE&PHONE#: <br /> Ct� lJk <br /> i <br /> CONTACT PERSON&PHONE# PROPOSED INSTALLATION DATE(NOT ASAP): <br /> P1)t Pi op ( 1te ) <br /> PROPOSED USE: EXISTING USE: IF CHANGE OF USE,NEW C.O.? <br /> g6a5►)lc65 T) 1 =k,d tick 1) I D <br /> TYPE OF SIGN(Check all that apply): • Submit one set of full-color plans including the following <br /> information: <br /> ❑Above roof • Type and method of illumination <br /> ❑Awning • Construction materials and dimensions <br /> ❑Banner • Distance from grade to bottom and top of sign <br /> Canopy • Distance from or into public right-of-way <br /> ❑Ground • Site plan showing location and type of all existing signs and <br /> ❑Projecting proposed signs <br /> .Wall •/ Design calculations for 30%wind load(except wall signs affixed <br /> ❑ <br /> Off-Premise Directional <br /> ID Illuminated flat to wall) <br /> O infernal 0 External Colors and reference# <br /> Non-Illuminated • For wall signs,provide elevation showing signable area <br /> ❑Special Event-Dates: to A photograph or graphical representation of the proposed sign at the <br /> desired location is required except for illuminated window graphics. <br /> TEXT OF SIGN: <br /> t ci CL,r)Cl eX 60/ l"`ei 17 2(i ri a 5 '1s''frib tt er)t <br /> REQUIRED FOR GROUND SIGNS REQUIRED FOR WALL SIGNS lC ABOVE ROOF <br /> LANES OF TRAFFIC SPEED LIMIT DIMENSION&TOTAL SQUARE BUILDING WIDTH <br /> FOOTAGE OF SIGNABLE AREA <br /> MAX.GROUND SIGN AREA GROUND SIGN HEIGHT NOTES: <br /> REQUIRED ON ALL SIGNS: <br /> SIGN DIMENSIONS(use feet) TOTAL SQUARE FEET <br /> ."2O 1 X Li 5t, <br /> (OFFICE USE ONLY) <br /> SIGN FEE: ZONING APPROVED BY: I DATE: <br /> Return To: <br /> City of Madison Zoning Section 31.04(3)(f)—Permits are revocable at any time by the <br /> 215 Martin Luther King,Jr.Blvd. Neighborhood Preservation&Inspection Division Director. <br /> P.O.Box 2984 <br /> Madison,WI 53701-2984 9/14/07 <br />