HomeMy WebLinkAboutPermit Permanent Sign SN-17-54 - DAVE'S COSMIC SUBSPermit Number SN-
City of South Rarlington, 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) _ a- )
5) SIGN ERECTOR (Name, mailing address, phone and fax #): % D 13 6- yt I A✓&
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7) DATE OF ERECTION 7a r36-7)4�,IL6'✓�
SIGN DATA
WALL SIGNS (list size in sq. #t., illumination, tic type
FREE-STANDING SIGN
such as panel or cut-out letter
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SIZE (in sq. ft.):
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OVERALL IM1GIT" .
SIGNABLE WALL AREA (in sq. fL);
TYPE OF ILLUMINATION:
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iw i v A scaiea renaenng of esett proposed sign must be subuutted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REV APPRO applicable): . .
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10) Applicant Signature: l'�I Date: v
11) Signature of Land/Building Owner: -¢�=�, Date:
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Do not write below this tine
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Fee: Application: Rejectedo Approved Q/
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Code Officer Signatures _ Date:.. _.
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NOTE: THE COLORS ON THIS DM4HNG MAY HOT ACCURATELY REPRESENT THE COLORS P—MD BELOW
INDIVIDUAL INTERNALLY ILLUMINATED LED CHANNEL LETTERS 8,: LED CLOUD SION
2413/4' CLOUD SIGN 22.48 SQ. FT.
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SALESMAN: DRAG
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ELECTRIC h SI N C MPANY,Pear."a?"�`
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DRAWN BY: CZLr
MAILING ADDRESS: sHIPPWG ADDREss:
P.D.uNORTHREND RD.
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DATE OF DRAWING:
ASHTABULA, A. ONH.. 41005 ASHT ASULA, OH. 11001
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VOLTAGE: 120
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