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Permit Permanent Sign SN-17-41 - ASURE SOFTWARE
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 #) 'C�10c?111 -srh L 5, i-Le— 2 jy (%cc rn.- ►Lj_ .'S to tc_ 11 I r c� 1Lt fi: n V-r n,;L+r, j Zri1)2 • r lit - 4-Rr�; a 2 A_ PPLICANT (Name, mailing address,phone and fax #)-.& 3)AICrN LOCATION (include business name, address, & phone #): 4) TAX PARCEL ID # (can be obtained at Assessor's Office)_C,`s?,c C CQ ` cC _ S) SIGN ERECTOR (Name, mailing addressphonephone and fax #):5 l r1 � +'1 S � 11Ci Lit ,`e r=SStx ,��'. �� `94 S Z `di ? �Y� 7) DATE OF F,RECTION 8) SIGN DATA _ WA L SIGNS (list size in sq. ft., illumination, & type�FREE-STANDING SIGN such as panel or cutout letter) lels <e_ '-4 SIZE (in sq, ft.): [2. OVERALL HEIGHT: rSIGNABLE WALL AREA (in sq, ft,): 'TYPE OF ILLUMINATION: NOTE: A scaled rendCring of each proposed sign must be submitted illustrating the color Uf the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW R/OfVapplicable): 10 Applicant Signature: l C' 'f PP ,�L Date: 7 �3 / 7 �N6J ►7' I I • r 11) Signature of Land/Building Owner: Date: -/S z-o 7 Do not write below this tine •r•r•••r••r•••r•r•rrr•♦r••rrrr•••••••r•rr•r•••r•••r••r••rr•r••••••••rr•••• see Fee: _� A lication: Reje ed ❑ Approved I Code Officer Signature: Date: 1 Replace 25" by 10" high street sign panels Designs are copyright © 2017 by Design Signs, Inc. and may not be used without permission. Sigl 802-872-9906 designsignsvt.com i 9 ft. wide by 3.5 ft. high wall sign Designs are copyright © 2017 by Design Signs, Inc. and may not be used without permission. 802-872-9906 designsignsvt.com Replace 58" by 24" high street sign panels Designs are copyright © 2017 by Design Signs, Inc. and may not be used without permission. 802-872-9906 designsignsvt.com