HomeMy WebLinkAboutPermit Permanent Sign SN-03-65 - DEE PTlJ l "[.ti"LrRQIET:TT '>L vi='1I1'T
575 DORSET STREET
SOUTH BU INGTON, ':iERMOINT 65406
(802) 346-4106
E01-L (802) 346-4101
Permit Number SN- G'�
Applicat o for Permanent Sign Permit —
1) 017,RNTER, OF RECORD (Naine as shown on deed, mailing address, phone and fax #)
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C �•�t to Wa- V T 0"S-4I — 4239Z9 F3(ez,Q;
2) APPLICANT (Namie, nailing address, plione and fax #) FL: �3 6--oo qS— fX : b4 f - Zq Z3
c ( . 5. i3 "I.- , VT o,-gd 3
3) SIGN LOCATION (include business name, address, & pphone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) STGN ERECTOR *Tame, mailing addfless, phone and fa., #): 0,
6) DATE OF ERECTION ly / Y/6 3
7) STGN DATA
,;5 #—.A- 4 LJJ
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STAINDING SIGN
such as panel or cut-out letter)
1. l �r s - �,(_ Z, :Ike-
SIZE (in sq. ft.): 3 2-
x
2. 2 s� rrT oC2
OVERALL DIGIT:71
SIGN< L ALL AREA (in sq. ft.):
TYPE OF 1LL�i�1ATION:
61, Y� 6 1-5-4t
LI- U U1.4
MOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
3) DATE OF DESIGN REVfW -APPROVAL (if applicable;:
9) Ajspiicant Signature: Date: ko 3
10) Signature of Land/Building O=Arner: � � Date: �G /4 J 3
Fee: /
Code Officer Signature:
Da not write below this line
97
atemeeee
Date: G
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Dee Physical Therapy
Main ID Sign
Approx 4' x 8' two sided
Painted Cedar Posts/Steel Brackets
FREESTANDING SIGN
WALL SIGNS
Dee Physical Thera
2' X 8'