HomeMy WebLinkAboutPermit Permanent Sign SN-17-66 - THE OLD POSTPermit Number SN- -
City of South Burlington, Vennont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address hone and fax #)
2) APPLICANT (Name, mailing addrV phoned fad #1
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3) SIGN LOCATION (include business name, address, & phone
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)_1 � Kj— c) 0-133
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
L - —t. _ rJci . _.
7) DATE OF ERECTION
8) SIGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
such as anel or cut-out letter)
FREE-STANDING SIGN
1. wood �5�yn ` �x� � � ip ,�• ,SIZE
(in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft):
TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each pro sed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW AP VAL (if applicable):
10) Applicant Signature: 0 0, Date: ICA 't I 1
11) Signature of Land/Building Owner: Date:
.............................................................................
Do not write belo this line
Fee: Application: Rejected ❑ Approved ❑
ode Officer Signature!wn n,
Date:
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