HomeMy WebLinkAboutPermit Permanent Sign SN-17-32 - LOVEWORKS CHILD CARE CENTERPermit 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 #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone ft
4) TAX PARCEL ID # (can be obtained at Assessor's Office)%
SIGN ERF,CTOR (Name, mailing address phone and fax #): S 0,
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7) DATE OF ERECTION 'T�
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-ST ING SIGN
such as anel or cut-out letter)
1. i SIZE (in sq. ft.):
2• OVERALL HEIGHT: /0
SIGNABLE WALL AREA sq. ft.): TYPE OFr� LUMINATION:
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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• Date: G
11) Signature of Land/Building OwneK! �i-- Date: C1
Do not write below this line
Fee: 0 Application: Rejected ❑ Approved
roved
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Code Officer Signature: Date: /
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782o Shebume Road Renovation
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