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Permit Permanent Sign SN-17-38 - 333 LAW OFFICES
V/ Permit Number SN- - City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as sho n on deed, mailing address, phone and fax #)�ql,jj me O 1 _ `[' ct u► n D O j 8�a— 5 70D 2) APPLICANT (Name, ma g address, phone and fax #) L'. Pe.," --� V T�3 Re yc/ -7- 7 3) SIGN LOCATION (include business name, address, & phone ft -3 :3 12e rcr t S_�'P v + 4) TAX PARCEL ID # (can be obtained at Assessor's Office ;2--- 5 � 0 5) SIGN ERECTOR (Name, mailing address, phone and fax #): P40vilf P2 ? 7-77j�,7 S 13 �_i ji V- r, 3 t 7 7 7� 7) DATE OF ERECTION�_� ,,� 1 T 2 c� l 7 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN t� such as panel or cut-out letter) 7 1. SIZE (in sq. ft.): a-_ Cc tv 2. OVERALL HEIGHT: / SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: hZ2 n,w NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. /W/V 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): 10) Applicant Signature:4Date: co Z 11) Signature of Land/Building Owner: �ua / 1 Vv- w,M"4 Date: 61 2- ....••.•...•.•..•.•..••.•.••.•...••..•.•...••..•.•.••........•.•••......•••... Do not write below this line Fee: Application: Rejected ❑ Approved ©� Code Officer Signature: Date: G ow- / 333 is 6"H 66"x76" SBSGNS I N C O R P o R AT E [D 466 Shunpike Rd, Williston, VT 05495 T 802/87' -9 • F 802/863/9772 • info@sbsigns.net SIGNATURE: have verified that spelling and content are correct. I am satisfied with the document layout. I understand that my document will print EXACTLY as it appears. I assume all responsibility for typographical er