HomeMy WebLinkAboutPermit Permanent Sign SN-17-73 - LYRICTHEATRE/J
Permit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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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) p i? 5- - noo
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTIONr,. l
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.):
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2.
OVERALL HEIGHT i
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REV�� QVAL (if applicable): _
10) Applicant Signature:
11) Signature of Land/Building Owner:
Do not write below this line
Date:' ._.'L�.'
_ Date: (Z. /7, c
-77
Fee: A lication: Reject Approved
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Code Officer Signature: Date: / J
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