20050207 Sign App 080306..~
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CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: ~~ 'Jr~O ~~~P~ /9'V~ ,J~~' Parce~ #: lo ~,3~.3 ~4D5o3
Zoning; G j Current Use: !/~S,O~QS/ Proposed Use: ~/2 4
Type/Numberof Sign(s) (wall, monument, lighted, etc.): ~Oh k1~t C~tfi" ~~ckr~c./
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Dimensions of Sign(s): ~2 X .3
Building Gross Floor Area (sq. ft): ~/~/r}
Building Height: ~~~
Existing Signage (if any) and dimensions: ~1/ ~N~
APPLICANT OGt! y1 i ~C.~
Last Name First Name
ADDRESS /65~0 ~o~r~ /~tlC SC EMAIL
CITY ~Ie/w~ STATE_ Lvl~- ZIP~~TELEPHONE,_ D S ~
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BUILDING OWNER
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
BUILDING TENANT ~}/'f'1 ,,~-
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
SIGN CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
I hereby certify that the above information is correct and that the construction of the above described sign will be in
accordance with the laws, rules and regulations of the State of Washington and the City of Yelm.
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Applicant's Signature Date
Owner I Contractor / Owner's Agent / Contractor's Agent / Tenant (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
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105 t'elm Auenue West (360) 458-3835
PO Box ~179 (360) -~58-3114 FAX
Yelm, WA 98597 wwu~.ci.yelm.wa.us
SIGN TEXT DOUBLE SIDED
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YELM AUTO MALL YELM AVE SIGN
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