HomeMy WebLinkAboutPermit Permanent Sign SN-17-40 - ALLSTATEPermit Number SN--1--
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, ailing address, phone and fax #)
i lil���l LrJJ C i^}' i �! Z `� y n.JCv !'� C•i �T
2) APPLICANT (Name, mailing address, phone and fax #) Twin State Signs Inc.
14 Gauthier Dr Essex Jct., VT 05452
802-872-8949 fax 802-878-0200
3) SIGN LOCATION (include business name, address, & phone ft
eft c, y T
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax ft Twin State Signs,
14 Gauthier Drive Essex Jct., VT 05452
R02-872-8949 fax 80 -878-0200
7) DATE OF ERECTION X- w ; 1, '}
8) SIGN DATA
rACC e(AA-eyF'
WALL SIGNS (list size in sq. ft., ill . tion, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft.):
-2s �CI-%
2.
OVERALL HEIGHT: f
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 REVIEW APPROVAL (if applicable):
10) Applicant Signature: 1140ilgUe Uilardt Date: - -
11) Signature of Land/Building Owner: ec,,e r HSt �,,Date:
Do not write below this line
0000009000000000
Fee: Application: Rejected pprov
Code Officer Signature: Date: -7/
P H I L A D E L P H I A S I G
Philadelphia Sign Company - 50 Porter Rd - Littleton. MA 01460-1414
Re: Smell) 1 T2F?
Id'aher Hattsermann
4001 ffWisron Rd
S Burlington, VT 05403
AUTHORIZATION AND CONSENT FORM
By my signature below, I hercbv represent that I am the owner of the property indicated above or otherwise duly
authorized by the Lease to grant authorization for Philadelphia Sign Company'and/or their sub -contractor to applN
for permits and install new signage at the above referenced location. I acknowledge that the signs (including cabinets)
that are installed will remain the property of Allstate Insurance Company and may be removed upon the termination
of the agency agreement or lease or for any other reason with 10 days notice to me.
Please check one:
Ck/Philadelphla Sign and/or its sub -contractors is authorized to remote the existing sign and/or sign
cabinet and dispose of it. 1 agree to waive all right, title and interest in such sign and/or sign
cabinet.
Philadelphia Sign and/or its sub -contractors is authorized to remove the existing sign and/or sign
cabinet and leave on premises in a location designated by me.
LANDLORD APPROVAL
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Signature _ _ _ Print Nuutc1Gt1�L](h.__._v
Title) —a 1�/vr�---------- ---- ematl
Address-�� b �L,Aw _ PhoneL '- � �G 11(�1b
Return Form to: Philadelphia Sign Compan-
50 Porter Rd
Littleton, t'1A 01460-1414
or FAX to: (978) 486-0138 attn: Mary'Ellen McCarthy
or email to: memccarthy(aphiladelphiasign.com
GKMr S M TYPE S M t>ESC1110111taM ACTT M
E01 ALST.CUSTJ*C S Q h x 5 01w Acrylic Reface of Existing Doude Faced Ilhwnirtiated Montxnent Sign Reftm Sign
PROPOSED SIGNAGE PHOTO
T, :0.ice ..
7-7
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PHILADELPHIASIGN ANT: ALLSTATE
LOCATION: YTRF2
Wafteir Hauserman
707 West Spring Garden Street 4001 VYWOm Rd
Palmyra, NJ 0806.5-1798 Sough BmkKjton. VT
I
EXISTING SIGNAGE PHOTO
Existing Sign Dimensions:
so•hx5'O'w
�.1 + { ✓I
*NOTE:
Your approval of the Brandbook indicates your acceptance
Y that the signage, provided to you and owned by Allstate,
will be manufactured and installed as shown, pending
landlord and/or municipality approval. Once accepted,
signage may not be declined at time of installation for
any reason other than a manufacturing defect. Any
Allstate -branded items that we install are the
property of Allstate .
- NE DATE: REVISION: THIS a - OR —
NE 0&11.17 JHH Revised E01 CREAK E9Y PNN,VJElP111A
SHEET: S GN R S SUBW TED FOR
Poll WR PERSONA USE IN
CONJUNCTION 4 H A PROJECT
BEING PLANNED FOR YOU BY
DMIG BY: PRNADEL —. IT Is NOT TO
DS BE SHOYM TO ANYONE WTSRIE
VWR ORGA..— NOR IS a
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