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DE RIPTION OF P OPOSED EXTERIOR CHANGES
o il
AND /OR
€ ATTACHED SIGN
Square Footage
€ FREESTANDING SIGN
Square Footage
All applications must be reviewed by either the Wolf Pen Creek Design Review Board or the
Northgate Revitalization Board Subcommittee. Once a meeting is scheduled, the applicant will be
notified of the date and time so that he can be present to discuss the proposal with the
Subcommittee. The applicant has prepared this application and certifies that the facts stated herein
a d exhibits attached hereto are true and correct.
3 S-' o Z
re of O er, Agent or Applicant Date
SIGN AND FACADE APPLICATION
SIGNFACD.DOC 12/03/2001
2of2
FOR OFFICE USE ONLY
CASE NO. 02�
DATE SUBMITTED - 3/ 1'2 _102
5� Prn
SPECIAL DISTRICT
SIGN AND FACADE APPLICATION
(Wolf Pen Creek, University Drive Corridor and Northgate)
MINIMUM SUBMITTAL REQUIREMENTS
Application completed in full.
$200.00 application fee.
�1 Tepi�C'f folded copies of fa a e details (inc signage) with dimensions. (for Facades only)
✓ Telj folded copies of sign details with dimensions. (for signs only)
✓ Color and material samples.
]jKAf attached signage is proposed, provide 1 copy of a building elevation showing sign placement.
NAME OF BUSINESS
ADDRESS t
LEGAL DESCRIPTION
PRESENT USE OF PROPERTY
PROPOSED USE OF PROPERTY
CURRENT ZONING OF PROPERTY
APPLICANT'S IN ORMAT ON:
Name _
Street Address -
City State
E -Mail Addr Ss _____ , b�>r
o .- '73
Phone Number `/( U ?
Zip Code
PROPERTY OWNER'S INFORMATION:
Name
Street Address
City
E -Mail Address
Phone Number
State
Fax Number rl 7 �) —
YW, hi__ 14011
Zip Code
PPLICATION DATA
ax Number
SIGN AND FACADE APPLICATION I of 2
SIGNFACD.DOC I2/03/200I