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HomeMy WebLinkAboutPermit Permanent Sign SN-17-59 - NEEDLEMAN'SPermit 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 #) G LL-Q- goz-363-3:-,, qq 2) APPLICANT (Name, mailing address, phone and fax #) 3) GN LOCATION (include business name, address, & phone #): IV BCD( EMAtA,5 10 70a sT. #2 -,182- '7g 4) TAX PARCEL ID # (can be obtained at Assessor's Office)__©5'] 0 ' 0 '"/ 0 5) SIGN ERECTOR (Name, mailing address, phone and fax #): -tl Ln 302 p4a" �.ol.. sT r6a g,o2—q-7q -14n 1 7) dATE OF ERECTION v U 8 SIGN DATA WALL SIGNS (list size in sq. ft., ' umination, Oype. FREE-STANDING SIGN such as panel or cut-out letter) I. ` s SIZE (in sq. ft.): . 2, 1O OVERALL HEIGHT: SIGNABLE WALL AREA� sq. ft.): I TYPE OF ILLUNIINATION: IDz),7 • �,,, .,�, , , ,,,,,.,,,,, ..,.u.,.�,.�s „� tea,, vy�aou aL�i ,uw�� oe submitted illustrating the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW APPROV L (i pli e : 7 7/ 11 10) Applicant Signature: q �/ 11) Signature of Land/Building Owner: 1 \JUJI(Wl� Date: 1 .............................................................................. Do not write below this line Fee: ILAP atio ReJ ' d ❑ Approved []� Code Officer Signature: Date: S 5,--*, No Text NEEDLEMAN'S