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0569 MAIN STREET (HYANNIS) (21)
S% an;,'f DDT YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M:G.L.-it does not give you permission to operate.) You must first obtain the necessary.signatures on this form at 200 Main St., Hyannis. -rake the completed form to the Town.Clerk's Office, 1 st FI., 367 Main St., Hyannis; MA 026.01 (Town Hall) and get the Business Certificate that is required by law. 3 DATE: Fill in lease: x �Z g �Jjs� 1. APPLICANT'S YOUR NAME/S: AA 2 C•N 2� �D YOUR HOME ADDRESS: I H"J N 1S A- L D� BUSINESS ,�•� U I F.�4r S.4i,+ '� 14i,a i..'� rr n • TEI`FPHONE k Home Telephone Number (n lr ,r...,u i,,.gn},r.• I - EIN #: 4 r 4 E-NAlL: NAME OF CORPORATION: NAME OF-NEW BUSINESS 0 Q_ �� l-:. TYPE OF BU5.1NES5 ES"rA-llh1T IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS. D — U'1 MAP/PARCEL NUMBER �o ��E (Assessing) H annLSI MA- oaCoi When starting a new.business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable' This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street.) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'5 OFF E This individ I h ee i e of -n er t r q rem is that pertain to this typo of business. ut oriz d Signatur d D M ENTS: I )!d'�I Ll 2. BOAR F HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business, Authorized Signature** COMMENTS: . ) > J jk ... -..- .. ........__..-........_....................._,........_-..__.. N�"w o�,.�N e2- -1"0 �-t8-05 a A , r T _ 3 ty y .. - z_" rnyr�uryl�y�ypr rr 77 In lug ,5,: y7f`1 ��IIfSt14U s. ° 1 T a p, rt ip�#aS, s - . toyI� r 0 9'.v_ ��fy � � '.' �' n� n.�� �,a�''" O; R 'e. °ry�.rp v 7 'i"�°' 'y :.' �� � ' �.... g •? � "�� e � Q,'''�# `� w. r�� ��'_ , ..r - ,7 .. , a. ', .r „' ° .1' `]'F"�3 'E `f'-'ib c�+. �•3`a,,.Cr,n Q.3 .,^ 'y a.,. P: �, °. ._ c£: .,�.o _ '�_ � � �d-.�i*At"f`tea.;,.� �w t�„`_' °� � � 5� o v rC_ s ..s�� �+ .�y�i°j.r�,a,,.i r„��a� n .. •r� 'C � Art '• ,„, ! ;:r - 1 A :fit. •71lA ! ',.a . -n ,. I`,�e� /��i-y,y Jra °!�9 At 10 f,•,� °�� T:�1r., J Ir •.1: y e y; f Sf ,1�•q� as ,r t'f/ �, � � r s st �`f 7: t ['• ,"�. �• �r YT{ -!!1. 1 " /' ., ' �� � fis i.r � j�a , n,'� a}y�y5�.; th.:• �jti,., �I ��,�.��1 \"�t��� � '<, ��i t1e �e `, '� (. .. t,� ,+,i +o�Zi. rv�-�� 4 �1}a '�v'- #.6 pal �y,,�: , h�r��.',! �Y�Jr' ti. ,I •. % t ! 1,�`. `f x • . r • ^.. •E, C.. +.-av :. h �. x�;`�•� �r t�1 .rr �:;o ..t 4 t .4 .. ., ''' • T � j� t .w. R sky mk �- ,ail• — 'B79td�i ADmGs iIBOUTIQUEIJU a.1�}'✓ S �` 5t t-�.^ I �,.,,,__ S ,_ c. a� •. wr k Ml, =a " c Ja. uer- t} YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME-in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You-must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 15t FI:, 367 Main St., Hyannis, MA 02601(Town Hall) and get /the Business Certificate that is required bylaw. DATE Fill In please:' n APPLICANT'S YOUR NAMEXORPORATE NAME ti $A A d � BUSINESS TYPE: Sk.4 BUSINESS YOUR HOME ADDRESS: S f t(.t 4 10l� TELEPHONE # Home Telephone Number 33 1 NAME OF NEW BUSINESS J 'G OR EIN: — Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS `n U r1 i,L i MAP/PARCEL NUMBE -U d When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM IS510 R'S OFFI . This individu I h s e inforFi of n p rmit r irements Ihat pertain to this type of business uth riz Signat re C MMENT ------------ 2. ARD OF HEALTH r v This individual has been informed of the permit requirements that pertain to this type of business.,. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. g Authorized Signature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information:. Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" F1., 367'Main St., Hyannis, MA'02601(Tovvn Hall) and get the Business Certificate that is required by law. Fill in please: DATE APPLICANT'S YOUR NAME/CORPORATE NAME LN i BU INES YOUR HOME ADDRESS: T EPHONE #. Home Telephone Number NAME OF NEW BUSINESS TYPE.OF BUSINESS Lam- �(Ze�iYl IS THIS A HOME OCCUPATION? YES ` NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS (, MAP/PARCEL NUMBER 3�G� II I - OOP i When starting a_hew business there are.several things you must do in order to be in compliance with the rules and regulations, of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. - You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMI"SSIOr ER'S OFFICE This individual h ben inform f aryy�p�rmitu e uirements that pertain to this type of business. l yP Aut orized Signature*- COMMENTS: �iL.Jz2 2. BOARD OF HEALTH - This individual has bee nforrhed ofthe permit requirements that pertain to this type of business. - i_ Q N V1 Authored Si n,aLur ** n� COMMENTS: L ��� j/� r Q-s �t U a il-WAu � 3. CONSUMER AFFAIRS (LICENSING AUT ORITY) This individual has been f' rme o th `liensing requirements that pertain to this type of business. uthori o Signature*" COMMENTS,: c a-," l E� (�j C,oc o M r R , t �F P � y' :; �r '*i' ».'�- fi' ?t ?'i .a.� I�etnll �' s » a t1 r °ski 7a?,2�, P ,kc - -+s � a �.w• x k'" �%"i,t��' `"� �Ndiler .,. , Stai].iS Cr F'` P1 fi Uu ProjctfAuctivrty S05fySlfit �� � x " �� -S 3iieirrlrTi._l. :ir w' "£ 5 PiY � � Achve x Business rt a 3UYV Descrap�arsn 1 2SIGIdS R Rf l C E f L�M11G 4�33�SQ . s��s A � LOSE D scfJp M OWE z Praperty�x Esti.- tidf s � s`ef�cttve,�� � 06��0��I9�1�i��� 'd °'"`y'y i -r�'i � _ -rr• .��a,.. �i��'�a '� _.s.,,::- -G r,.:xq�`�'Gx :.s�rr�dwTd.� i:',;:£�.. rn k f�iLiSA7esS`" y r �r iE �Praperty se -LAWnf�r � Date�s�N'l c u� ' Per J68.L.4,U 3 ��eaL'G1 Y:�� �. .z4'i pp-�&. �Yf+� �a h»m,-n•.n .w.«.mea+.+.. �� e �-M,w � �' , r x ��" ti Exast� g use 321I1 REfi1It GO! LYStFeeS` �>kibb s3 t r ng �yq Sri 4unidpa6 } 'AN 9i1'ANNIS ; �,h € escrow f L7dlUISIOr� s {a F tsaM v c r �" Zd378e.x F $ _-,amp" d 327U RAIi'v PaYtlisary ©t�Sec�c rY fPase © ". a �' x 4 a rjl � 3ety een A T� �..p, .•v* ,.. Y(Yd�.���` n-� �� �'�''i�Y �*� � �� �`?� " E� q� * ii p,�.�� ', �' �1e187©a� MW ^p'w.z*. ' ' 3 ' 's,. '.." ta° .cr w'.k .�' ,i awns Nst. 8 a- ` •' `` �'t3im1�IJttlt ste^�s' ,a c ; ' a lq, �J c r mops one n +�k &* VMP i . 3 P€erequRestr," par es° �. �8©rids [ Sub i 4dde'sli �t � ��ro<t°✓ 3 Prar 3istcYry F f�limecoans f ![ t�mlz, or s� (�"Reu�ev,�s 1 Llpen Items' �hNar�iir s i. lL1raY,':Ir35pS x , '" « � ' 3kHMill, 01 0; 3 i�- ttt3 Girrt$lk{Ti� �t a 4 1 ��sj � �.,.mow ak. _�.. � � 4 I 1 ,:p$.'_= PRE :e' I, z:��::.:. -� ;` ,��:. k�, s a.�?`,a r.d ,y, x.«- ruff { .- }..`.-."`a 1 06iS jDPJ-�j a Current applic�tY4rY i Sign TOWN OF BARNSTABLE Permit BARNSTABLE. MASS. FO39. A Permit Number. Application Ref: 201103097 20070610 Issue Date: 06/10/11 Applicant: Proposed Use: RETAIL CONDO Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 569 MAIN STREET (HYANNIS) Map Parcel 30811100D Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks 2 SIGNS FOR THE BROKEN CONE TOTALING 12.33 SQ FT (1) 7.15 SQ FT FOR FREE STANDING(I)'AWNING SIGN 7.6 SQ FT Owner: MCGEE ENTERPRISE NOMINEE RLTY TRST Address: 569 MAIN ST-UNIT D-1 HYANNIS, MA 02601 Issued By: SS POST THIS CARD; SO THAT I5 VISIBLE FROM THE STREET i�te-� mot , Sign * TOWN OF BARNSTABLE Permit BARNSrAB * MASS. 94j�i6�q. Ae� Permit Number: Fo Application Ref: 201103097 20070610 Issue Date: 06/10/11 Applicant: Proposed Use: RETAIL CONDO Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 569 MAIN STREET (HYANNIS) Map Parcel 30811100D Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks 2 SIGNS FOR THE BROKEN CONE TOTALING 12.33 SQ FT (1) 7.15 SQ FT FOR FREE STANDING(1) AWNING SIGN 7.6 SQ FT Owner: MCGEE ENTERPRISE NOMINEE RLTY TRST Address: 569 MAIN ST-UNIT D-1 HYANNIS, MA 02601 Issued By: SS POST THIS:CARD SO THAT IS VISIBLE FROM THE STREET d M1 Pressure Dosed Systenz ? Provided pump and p calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all'systems>2000gp systems under remedial approval [310 CMR 15.2 Remedial Use Approvals] If used in gravelless system- make sure jet is dire scour soil interface [Guidance Document] Inspections once per year (systems<2000 gpd) or (>2000gpd) good to note on plan [310 CMR 15.2 Collstrruction irz fill - Did the plan specify that th the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? [Guida Impervious barrier installation must be supery designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registere Engineer [310 CMR 15255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.25 Breakout requirements met? [310 CMR 15.25 tr f 4/19/201;1 r' y+ COMPANY: The BCOt(eC1 COII@ PHONE:508-360-8091 /� VERSION': 1 2 3 4 CONTACT PERSON: Janis GOICI 10:36 50 AM E-Mailed Called NO PROOF STREET: - FAX: • _ Rt=C1UIREp CITY: STATE: ZIP: EMAIL: Jaf1ISgOld realtyexecutIVeS.COfT1 d. File Name:Gold_THEBROKEN_CONE.fs" Folder Name:C:\_FLEXI—FILES SAFE PLACE a t — s � '.. € �' s -- `` , i ` r :� - -_ �•••a�...�. �;,.. ---+� �. gym.,....,:, af F �'� �L -.'d.�' -. �, .' .- .^ '. ^'�` 14;'P^'^'...n^'P .z'rov.'^'c"+fsn.r aF^ew'n'.t'+'iZ'fi+^5'+aa Ste-.anf'•n�k•{`aL'99'�'^s'•nrw.,a.-'s+xF,^wF.+n+'�iv.wp„eg+ekxyY _ _ y m g �^ yE rf Kw't 'k' 'y s � w ° 'k, y*f✓ l�lY`^- av � �� c - � .. ': '�� T "-,.a,•.� a'"r � .�. •19 75 in ,a.� �c -,.�. r,. * a� * >x m ,• r r � k� S _ s � .. > � fo ik T SANDWICHES wSALADS •�s � , % 'P , 'k"'"'s�'d�,� RI .. F a M +4 e� } �• '�' � Y � b,,,y -•` �� �����"^,��`�i ,''�af"1,c'S�"t..3'- �. as 1 ^�.'_ w�� -T�"P�'�"R '� '�`•;s�" ,y �-'� ,,,,� .. _ @ COPYRIGHT 2011;SIGN'A*RAMA,Inc. 1 „+ THIS RENDERING IS INTENDED AS A SAMPLE ONLY.COLOR,TEXTURE,MEASUREMENTS,AND ACTUAL APPEARANCE MAY VARY SLIGHTLY FROM COMPLETED WORK AND IS CONSIDERED NORMAL&USUAL. y N, -1 lo Please check layout(artwork,spelling,dimensions)and fax back with signature.Production a' I HAVE REVIEWED THE ABOVE SPECIFICATIONS&HEREBY FULLY UNDERSTAND THE i cannot begm,until written approval is received.Additional charges will be applied for any changes CONTENT OF WORK TO BE PERFORMED (;tlrthat are needed after approval is received.SIGN*A*RAMA is not responsible for any errors in "' AND APPROVE THIS PROJECT TO BEGIN I Spelling,layout;or dimensions that have been approved by the customer.This proof is for listed ---`+ - t items only.Any changes or deletions by the customer not shown or charged herein will be billed 12 Whites Path-Suite 6,South Yarmouth,MA 02664 CUSTOMER APPROVAL SIGNED BY: Seperet�ely,50%DEPOSIT DUE AT TIME OF ORDER(full amount if under$100),balance due Phone:508-398-9100 Fax:508-398-1760 upon time of inetalletien.I HAVE READ AND AGREE TO ALL TERMS. INITIAL Email:ccsar@verizon.net PRINT: DATE: rS ,,upon -. ... www.signarama-syarmouth.com i - 0 I1L DESIGN AND ALL INFORMATION CONTAINED THEREIN IS THE PROPERTY OF SIGNWRAMA AND ITS USE IN ANYWAY OTHER THAN AS AUTHORIZED IS EXPRESSLY FORBIDDEN.THIS PROPERTY MAY NOT BE REPRODUCED OR DUPLICATED WITHOUT WRITTEN PERMISSION OF SIGNWRAMA OR THROUGH PURCHASE. f �r4g 7 �I1 .w p d�1 r�I� MIV III :�31k+rt'�a x f r s F rp�4' vw :5s�f•{,1 �"k,. s 4 r` w,,.Y�sr. `ad•�us.�+ ,w f�*gT.P'k^�""",""""p i, w„w'aww+Ppw+amw, I +p rvra#1V ., s h �µ Z P �p n r x h 4%19/2011 � d a z � f 4. w TIC ` �f `#&� .. r�e-� � a�i J t } a t`' h a > J'wt, f� .r` - 10:38:42 AM _ Emma® 0 r a * fix 1k'.' s 4 ' ''�,,d I'.. - 'y; �" *ra a l" ''GT r l s l VERSION: 1 2 3 4 � : �. r - d., a' � r .A*.�� � :.:.. �> ���a`;�I6 � & �a'd i s � % 'ash'k�and*"- � ., E--�,�E-hded C���IC?CV ��L� f'E)OGfF ��, �� �� �{k �� �� p�g�� �' � ;Y� _C�. Ili .7 s Rv a0 .kst .COMPANY: The Broken.COMB '�" j } CONTACT . . -.. ..r. - u?" �4 ult � PERSON: Janis Gold." _ .. � K t + - } Home-Made 4 , Since 1934 STREET. 3,' s �` '$3' vx CITY: STATE: fairR I' >a ZIP: k;,' "V r} �j ry PHONE: 508-360-8091 � �t -a,�� r I " r rR4T� nr�a '}a �Ia FAX:' 1 sr vd tk t" EMAIL: janisgold@realtyexecutives.com w ; ' 1 3' s,' w Iws eh �. T i ' y '.^Y' �* aa. s r:� ,:. 't v,i •'� �t " E 9 '� ?,L r ., d 'L, - - iy '.+�. �q, S :. n"x &ka r J ' tw,rv�kY e *a,jc.. 'r �7r.` ✓Y>Fshy.� " 5'3'� iw�v e a9 kM I�" ;IY a* h '?' w +..v v �..: T w k 5 wr R t r s , rS��c t �*' ", x t r y q`sax`s", ,, - - St >L R' "", Y rw'- s �-�r dN'} c- �.r`53,' +FP.a ^'` }- � ✓ -�' :1. � g ��r� "< " fu tL . File Name:Gold THE BROKEN CONE.fs .„ ��,w'tk` �"� t h �- �, F� ,` ., �`,'�., ,, ;,,a ' � Folder Name:C:1_FLEXI_FILES_SAFE_PLACE @ CnPYRiGHT 2011,SIGN'A'RAMA,Inc. THIS RENDERING IS INTENDED AS A SAMPLE ONLY.COLOR,TEXTURE,MEASUREMENTS,AND ACTUAL APPEARANCE MAY VARY SLIGHTLY FROM COMPLETED WORK AND IS CONSIDERED NORMAL&USUAL. Please check layout(artwork,spelling,dimensions)and fax back with signature.Production I HAVE REVIEWED THE ABOVE SPECIFICATIONS&HEREBY FULLY UNDERSTAND THE cannot begin until written approval is received.Additional charges will be applied for any changes CONTENT OF WORK TO BE PERFORMED that are needed after approval is received.SIGN'A'RAMA is not responsible for any errors in AND APPROVE THIS PROJECT TO BEGIN spelling,layout,or dimensions that have been approved by the customer.This proof is for listed Items only.Any changes or deletions by the customer not shown or charged herein will be billed 12 Whites Path=Suite 6,South Yarmouth,MA 02664 CUSTOMER APPROVAL SIGIUEO BY: separately.50%DEPOSIT DUE AT TIME OF ORDER(full amount if under$100),balance due Phone:508-398-9100 Fax:508-398-1760 upon time of installation,)HAVE READ AND AGREE TO ALL TERMS, INITIAL Email.ccsar@verizon.net PRINT: DATE: w" www.signarama-syarrnouth.com 17 i 's`�cINAL.DESIGN AND ALL INFORMATION CONTAINED THEREIN IS THE PROPERTY OF SIGNWRAMA AND ITS USE IN ANYWAY OTHER THAN AS AUTHORIZED 15 EXPRESSLY FORBIDDEN.THIS PROPERTY MAY NOT BE REPRODUCED OR DUPLICATED WITHOUT WRRTEN PERMISSION OF SIGNWRAMA OR THROUGH PURCHASE. S 4 � Barnstable Hyannis Main Street Waterfront Im rd Historic District Commission AD-America City 200 Main Street W NSTAHYE. Hyannis,Massachusetts 02601 Mass Phone:°508=862-4665`/ Fax: 508-862=4784, �ArEOt�� www.t'ti�vn.barnstable.na.us/arciwthnaana xe 2007 George A.Jessop,Jr.AIA,Chair Marylou Fair;Administrative Assistant CERTIFICATE OF APPROPRIATENESS FOR SIGNAGE r � Application is hereby made for the=issuance 6f a Certt'ficate of Appropriateness under MGL;Chapter 40C,The.Historic--Districts Act,for proposed signage as described below and on drawings or photographs,accoinpanytng%tl is application' CHECK ALL THAT APPLY* l. Open/Closed-Sign RECEIVED 2. Trade Flag 3., Trade Figure or Syinbol 4. Location Hardship'Sign 5. Busines9Sign.. -TOWN OF BARNSTABLE HISTORIC PRESERVATION *Application materials must be submitted fdr each sign requested Date ASSESSOR'S # 'Q ASSESSOR'S PARCEL#; l � APPLICANT-- ��) C} APPLICANT MAILING ADDRESS c.7. T 1 ` ` ,— .-- ` ` G-Z L 56 APPLICANT E-MAIL ADDRESS c� ADDRESS OF PROPOSED WORK PROPERTY OWNER ` OWNER MAILING;ADDRESS- .J�? c, + 1 2 C. f. G �C7 NOTIFICATION TO ABUTTERS: Please contact Growth Management.S.taff'for-abutters list and assistance with notifications to abutters. Applicants will be responsible for providing the postage staitpso for abutter not fication,at the time of submission of this:, application. AGENT OR CONTRACTOR TEL# ADDRESS SIGNATURE of AP;PLICANTf G�G DATE:------------- :. For Location:Hardship>Si n&freestanding Trade Figures or::Symbols t6be.16cated'on,private property: Check.box if property owner has granted permission4o locate Sign.or Figure on.iheir.property abutting'ahe building front: Received by HMSWHDC: 'Page l of 4 - F... y , L Hyannis Main Street Waterfiont Historic District C,ommission ram, 200 Main street Barnstable you, ,Hyannis,Massachusetts 02601 bAd a Phone: .508 862 4665/Fax: 508-862 4784A All AmeBMWSTrieaCity ' " www;.town.,bamstable.lTia.us/izrowthinanaiernent nsas5. 0 9• ♦�� r 2007 George A.Jessop,Jr.AIA,-Chair, Marylou.Fair,Administrative Assistant Extension o i.me RECEIVED To Hold the Public Hearing and File of Certificate of Appropriaten R 1 0 1 1, Under Section 112.Article1n of4he Code of the Town.,of Barnstable TOWN OF BARNSTABLE MiSTORI—PREStRYATI ON In the Matter:of l Applicant}�the.Applicant for a Certi&ate of .Appropriateness and theRyannis.-Main,Street Waterfront HistoricDistrict Cornni ssion,agre6to extend the time;limits: of Section 1:12=3I.D and E.for holdingthe public`hearmg;and for the Commission-to render a,determination Ion the application,and issue a,.certificate or a disapproval.for a period of days beyond that date the hearing;was, required to be opened and:the determination of the:Commission was to be made In executing this Agreement;the Applicarit hereto speeiftcally waive any:claim fora constructive grant:of the applieation;based}aeon time limits applicable prior to the execution of this Extension: Applicants' HyannislVMam Street Waterfront Historic District: Signature: ,` Sgnafures,; Alp art:or Appli nt Representative;" Chair or;Acting Chair. Date: / ,-G � , Date:`, Address af Proposed'Work ; St &-No Assessor's Map#and.Parcel:=#. a Page 3-of 4 .: 4/19/2011 VERSION: 1 2 3 4 coMPANY: The Broken Cone PHONE: 508-360-8091 CONTACT PERSON: Janis Go(d r kJO F kC10;• STREET' FAX: 10:36:50 AM �;- � ailef Called ;c04 AR--°x CITY: STATE: zIP: EMAIL:.janisggld U@realtyexecutives.com �1 - ® Fde Name:Gold_THE_BROKEN_CONE.fs Folder Name:C:1_FLEXI_FILES_SAFE_PLACE LU z 55 Uj 00 rR - it1[ w bl aeW . 4 f `SOUF� �l$ANO4UtCME'S,.a -`. _ i"`.� �"`q. �., a �.p� ����. ,�s.•`�"!��ar_� `�---�'"� -r^ k{y�y,epz6uCxur ``t< .'�„i.'�`"�` �°" a ` r r s THIS.RENDERING IS INTENDED:AS A SAMPLE ONLY.COLOR,.TEXTURE;�MEASUREMENTS,AND ACTUAL APPEARANCEAY M VARY SLIGHTLY FROM COMPLETED WORK AND IS CONSIDERED NORMAL&USUAL.:. .. ... ., Please check layout(artwork apedmg dimensioere)and fax beck with signature:Preductron> 1 ` ,� °` tl I" I HAVE REVIEWED THE ABOVE SPECIFICATIONSB HEREBY FULLY UNDERSTAND THE cannot' m until written " beg approval ie received Additional cherges.will ba applied for any clielsgea CONTENT OF.WORK TO BE PERFORMED that are needed after a revel Wreceived.SIGN is not re Arty .. pp responsible for a errors in 1 AND APPROVE:THIS PROJECT TO BEGIN spelling.layout,or:dimensions.that have been approved by the customer.This proof is(orruited. `"` " TO only.Any changes acdeletions by the customer not shown or char9ed:herein vri8 be.biled 12 Whites Oath-Suite 6.South,Yarmouth,MA 92604 I.M.APPROVAL SIGNED BY.r separately.50%OEROSfT DUE AT TIME OF ORDER(full amount if under$100),balance due Phone:508-398-910D Fax:508-MA160 upon time of installation.i HAVE READ AND AGREE TO ALL TERMS. INITIAL Email:ccsar@vedzon.nat PRINT' DATE: www.sgnarama-syarmourth.com THIS ORIGINAL DESIGN:AND ALL BtFORMATx1N CONTAINED THEREIN IS THE PROPERTY OF SIGN'A•RAIAAAND ITS USE IN ANYWAY OTHER THAN AS AUTHORIZED IS EXPRESSLY FORBUIDEN.THIS PROPERTY MAY NOT BE REPRODUCED OR DUPLICATED WM OUT WRIITEN PERNtSSION OF SIGN'A'RAMA OR THROUGH PURCHASE. r p ^" X:w w�S4^w° •`;,� ^" `Y+k', w>c.t+re�'�cf- :. "4+ `Sn �',� -.x^S.> .�: ^A t. 4� x" as x..j q. _ 4119/201 a . �� Uf 5 G7 :�^" fl, x 10:38:42 AMLU Q � # F- o cn ac r pan Z �Q • d er s 7VERSION m ��LL ; 1 2 3 Q z o OR k ,.'�� �q I ..,µ i IBC S: Cn. 4A a k;d G. lied I?F. [�Jl Y _ 9 y ` a ° O e COMPANY: The.Brokell Cone. PERSG*N: Janis Goid- Home 1VLarie Strtce_t934 STREET' ° CITY: 90i * a PHarac:508=360-8091 FMAILr anis olcf� g @realtyexecutives.cona �� � , ,t ��r *: K � r'File Name:,Gofd_THE SIR O KEN_CON E:f§ Folder Name..Cl"FLEXI FILES SAFE.PF!W," TNIS RENDERING ISINTENDED AS A SAMRLE ONLY.COCOR,.TEXTURE,.MEASUREMENTS,ANO ACTUAL APPEARANCE MAY VARY SUGHTLY,FROM:COMPLET,ED WORK AND IS CONSIDERED NORMAL&USUAL: Please check to"uut'artwoek edin 'dimen;ioria endlfax back'with si nature:Piiuction N' "d 1 ', a �' Y, Y` T THE Y P 4, ;,_,,, l g 49 11► ii } t, p, e I p hHAVE REVIEWED TH,E,ABOVE:SPECIFICATIONS&:HEREB FULL UNDERS.ANO cannot degm anal written epproyal is received Additional chars will tie;apphed for any changes I r ` �p, d 1 %CONTENT"OF WORkr TO BE PERFORMED:: that are'tteeded after epprmel is"receivedr SIGN"A`fiMAA is riot responsible for any errors in ■ AND APPROVE THIS PROJECT TO BEGIN spelling.JayouE.or dmiensiuns"that have tieen approved by Lhe customer.This proof is for feted GU$T�1{1R R A Pf�OVAL.SICiNED$Y7` items only.Any changes or,dMetions by the customer not shown or charged herein will be tilled 12 Whites Path S06e k_South Yarmouth.MA 62884' separately.50%.DEPOSIT DUE AT TIME OF ORDER(full amount if under$100),betance'due Phone:"StM-39&9100 Faz SOB-398-17ti0 oo time of inst elation I HAVE READ AND AGREE TO ALL TERMS, INITIAL Email:ccsar�verjmriinet'. PRINT: : SATE: P www signeianie-syarirauth.com rMS OW.WAt OESIGN AND ALL INFORMATION CONTAINED DIERaN MTHE PROPERTY OF SI13WWRAMA AND rrs USE IN ANY WAY OTHER THAN AS AUTHORIZED IS EXPRESW FORBIDDEN.INS PROPERTY MAY NOT GE REPRODUCED OR.OUPUCATEo wrniour wRmEN PERMLSSION OF SIGN-A-RAMA OR THROUGH.PURCHASE Open/Closed Size of Open/Closeci Sign: x r. Sign: rMaterial of'Open/Cloied Sign. Color(circle one option)Red/Red&.:Blue, Trade Flag;. Size:of Trade Flag: x: Material of Trade Fl Trade Figure Dimension of Trade figurer or Symbol: x x Or Symbol: material of Trade Figure`oi Symbol:, R I E ` Location Size of Hardship Sign:_ x A t o Hardship Sign: TOWN OF BAHNSTA 3>F. Material of H"ard8hip Sign: Mr SkfiVA't'iLiv Lettering,Color and-Material: Business Sign: Size of Sign_ x' Mater'al(s);of;Sign Material n.of Lett' (if different) 'The'Si,gn)Vill>be(circle one): Carved WoodY,Nirited b6d I lummu n Other TeX Exterior Light Fixtures,{circle one&No if yes;what type of lighi.fixtuce: Location,of Fixture . 1( i ION . . A� P.ageI of.4-