Application Sign Variance
General Information
Application No.(once use ooiy)
Project Location:
Tax Map ID:
Zone Classification:
Detailed Description Of Project(include current&proposed use):
Applicant: r
Address:
3 ua Lie
Home Phone:
Work Phone/Fax: _� Z�f _ (,
Applicant's Agent:
Address:
PaS (AA �>ue�eA.5 "f�"'/ /` "l /.7sla4
Phone: 75�J
WorkPhone/Fax: _ 3 8-o/G6
Property Owner: e i-
Address:
3G loweet
Phone: Oo
Work Phone/Fax:
Directions to Site:
Sign Variance
Last Revised: April 19,2002
Site Development Data
Area/Type Existing sq. ft. Proposed Total s
Addition
s . ft.
A. Building Footprint
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gravel or other
hard surfaced areas
E. Porches/Decks
F. Other
Total Non-Permeable
Sum A through
Parcel Area
Percent Non-Permeable
(Total Non-Permeable/Parcel
Area
Setback Requirements ,L 7 S �='M ���nf
Required Existing
Front 1
Front 2
Shoreline
Side Yard 1
Side Yard 2
Rear Yard 1
Rear Yard 2
Buffer/Travel Corridor
Height
Permeability 1
Sign Setback 'L5 0 0 '
No. of Parking S aces
Sign Variance
Last Revised: April 19, 2002
Sign Variance
[Compliance with Sign Ordinance
Section(s)that apply: /Yo— 6,6 c /�O—
at sign(s)are you allowed to have.
wall sign(s) ...... /00 square feet(each) �/
freestanding sign(s) —� square feet(each)//& .2 $$ / S27w/s�
2 S height(each)
application is for a change in the
Number of signs: Size of s' Height of signs:
Setback for sign:
levation
If you are proposing to install wall signs, provide a scale drawing of the fagade they will be
located on,with their location shown.
If you are proposing more than two(2)signs,the following information must be provided for
each sign(please use additional sheets if necessary):
Sign Number: Size: Length 1 / 5/ a Width � '3 _ 0
Total Sq.Ft
Eristing: Height J,ft(for freestanding)
Proposed: Depth / "inJft(projecting)
Wall: Distance from line: ft
Freestanding Wording:
Illuminated
Projecting
Design of Sign: Scale 1" = inches/feet
Sign Variance
Last Revised: April 19,2002
Sign Variance
om Hance with S' Ordinance
Section(s)that apply:
at s are oa allowed to have
wall siga(s) ...... square feet(each)
freestanding sign(s) square feet(each)
an fre M sPs c�ly2c�dvKa�� �f height(each)
� z a lication is for a change in the
Number of signs; Size of s •—� Height of signs:
Setback for sign: Other:
levation
If you are Proposing to install wall signs, provide a scale drawing of the fagade they will be
located on,with their location shown.
If You are Proposing more than two(2)signs,the followin
each sign(Please use additional sheets if necessary); g information mast be provided for
Sign Number: Z Size: Length �� z Width 'S
Total Sq.Ft.
Enshng: Height 7 ft.(for freestanding)
Proposed: Depth hL t.(projecting)
Wall: Distance from property lime: Yo ft. 11 Weestand►ng Wording: 5Je.At.0,.,,
Illuminated
Projecting
Design of Sign: Scale 1" = inches/feet
Sign Variance
Lest Revige(L April 19,2002
Sign Variance
The following questions reflect the criteria for granting this type of variance.
Please complete them, using additional sheets if needed.
1. How would you benefit from the granting of this Sign Variance?
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2. What effect would this variance have on the character of the neighborhood and the
health,safety,and welfare of the community?
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3. Are there feasible alternatives to this variance?
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r
4. Is the amount of relief substantial relief relative to the Ordinance?
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5. Will the variance have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district?
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Sign Variance
Last Revised: April 19,2002
SIGN VARIANCE
1. Better exposure, satisfying Ford National Signage Program. Bring the signage
design to the 21'century. Community friendly
2. More appealing than 30 year old signage. No negative effect on compatibility
with nearby businesses.
3. No
4. Yes
5. No
Sign Variance I /
Signature Page
This Page includes the Authorization to Act as Agent Form, Engineering Fee Disclosure, Other Permit
Responsibilities,and Agreement to provide documentation required.
Complete the following if the OWNER of the property is not the same as the applicant:
Owner's Agent Form
Owner. r (Print Owner Name)
Designates: t -e-- (Print Applicant/Agent Name)
As agent regarding: Variance _Site Plan _Subdivision
For Tax Map No.: Section , Block�_ Lot odd'*
Deed Reference: c JM3 Page 1A,& Date _
SIGNATURE: �r��,�/lut� (Owner) y 710blte
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by
another party:
Applicant's Agent Form
Applicant: (Print Applicant Name)
Designates: (Print Agent Name)
As agent regarding: _Variance _Site Plan _Subdivision
For Tax Map No.: Section_ Block_ Lot
SIGNATURE: (Applicant) Date
Engineering Fee Disclosure: Applications may be referred to the Town consulting engineer for review of
septic design, storm drainage, etc. as determined by the Zoning or Planning Department. Fees for
engineering review services will be charged directly to the applicant. Fees for engineering review will not
exceed$1,000 without notification to the applicant
Please Note: Other permits may be required for construction or alteration activity subsequent to approval by
the Zoning Board and/or Planning Board It is the applicant's responsibility to obtain any additional permits.
Official Meeting Minutes Disclosure: It is the practice of Community Development Department to have a
designated stenographer tape record the proceedings of meetings resulting from application,and that minutes
transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy
between such record and the handwritten minutes taken by the designated stenographer, the handwritten
minutes shall be deemed the official record
I,the undersigned,have thoroughly read and understand the instructions for submission,agree to the
submission requirements and completed the checklist
J
Qppfcca ae6 Qgertt Date
Sign Variance
Last Revised: April 19,2002