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HomeMy WebLinkAboutPermit Permanent Sign SN-18-03 - HOTEL BURLINGTONPermit Number SN--� City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on dead, mailing address, phone and fax #) �3o`) a$v I'7177 2) APPLICANT (Name, mailing address, phone and fax #f) FCµ S �,�' C age '77S-06ex> 77fo W- 3) SIGN LOCATION (include business name, address, & phone �I i !�•f Sow �(y1 DStlo; f°�C.Go 4) TAX PARCEL ID is (can be obtained at Assessor's Office)_ �+ 51 SIGN E -.CTOR (Name, mailing address, phone and fax 03--1y�.10 gam_ �s ��.o , �✓ 7) DATE OF ERECTION 8) SIGN DATA W SLiTfS (list size in sf2-illumination, R q-pe F$ _ TANTDI G SIGN suc4t ae panel orQcu[-out letter)q. ---.�.� 1 1 � `� 1 �SIZE (in sq._fclC):!— t 1 O OVF.RAIJ HEIGHT: SIG14X8LE -2-4 WALL AREA (in sq. i}.): TYPE O� ATION: 140TE: A scaled rendering of each proposal sign must be submitted illostranng the co}or of die sign sod 1 noting the dimensions of tseh sign. 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): V 2 10) Applicant Signature: 11) Signature of Land/Building Ow-r Datc: •wNw•N•••••w•ww••••w••w•••••w•wN•••w•wi•N••••••w•ww•••••••w••••••w••w•••w• Do not write below this line ••ww••••w•ww•••l/�www••wNw•www••www••ww•w•w•wwwwwwwwwiwwwwwwNwwwNw••Nww• • Fee: App"o: Reje Approved Code Officer Sigaature: Date:/ / l- m-19- 0 c Qn- 4� LAD ��� tjtj %e.4- cam- C.1 . X 46; dp 1 461- 5A CHRISTINE DR., HUDSON, NH 03051 PHONE:603-231-3602 FAX:603-402-1098 EMAIL: Chris@CSSigns.net WEBSITE: www.CSSignsUSA.com Christopher A. Stone -,�N i''N