HomeMy WebLinkAboutPermit Permanent Sign SN-17-29 - REV INDOOR CYCLINGPermit Number SN-_d_-_„
City of South Burlington, Vermont
Application for Permanent Sign Permit
1 OWNER OF RECORD l0 �r�� Sf , Ca r10,
(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) SIG
I /GIN LOCATION {include business name, address, &phone #): / „�- C /f h LL C
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)_
5) SIGN ERECTOR
7) DATE OF ERECTION
8 SIGN DATA 1V/NDpW Sl G /\)
SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN --'
such as panel or cut-out letter) t LA I0jrSIZE (in sq. ft.):
2. Ow OVERALL HEIGHT: --
SIGNABLE WALL AREA (*Aq. ft.): _ TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each Odposed 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: 5 a
11) Signature of Land/Building Owner:. Date:'
Do not write below this line
Fee: Application: Rejected ❑ Approved
Code Officer Signature: Date:411
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