HomeMy WebLinkAboutPermit Permanent Sign SN-17-28 - SOMMERS CHIROPRACTIC�7
e t X- / Permit Dumber SN
City of South Burlington, Vennont
Application for Permanent Sign. Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax 4)
"4v11et r se rvA C er P
2) APPLICANT (Name, mailing address, phone and fax
3) SIGN LOCATION (include business name. address. & Tnhone AID:
4) TAX PARCEL LD 4- (can be obtained at Assessor's Office) ) 7.2&Q-7
5) SIGN ERECTOR (-Name, mailing, address, phone and fax if a"tair1
u
7) DATE OF FRECTION V1 :.
8) SIGN DATA
I 'WALL SIGNS (list size in sq, ft., illumination, & type FREE-STAIN'DaTG SIGN
such as or cut-Dut letter)
SIZE (in sq. f.):
I 1 OVERALL HEIGHT:
ft SI q L 'FALL _ ui i TYPE OF ILLUMLNATIONT: � =A.�Z��.G_! •q�
s�iOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sioa and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW ,R-QV,. if applicable):
�-
10) Applicant Signature: / r - " ~ Date:
11) Signature of 1_,andlBuilding Owner: Date_
000080090O 00CCOOC 0o 40000 cc E£0000£00®EE0000000 N000Eooto 0000C OC 00OCCO 0000000000e
Do not iN rite below this Sine
C00®090BOe 0DOPG O00G60C OE*00006000000000G00000000000®000000000O COO 000C.00 Og9000 E
Fee: Application.: R iec ed 0 Approved
4�L_
Code Officer Si
gnahtre: Date: /d /
C
I-S 0 W, rZ Rs
MAIN ID
ALUMINUM LETTER PIN MOUNTED
Wi LED REVERSE LIT
BACKGROUND ALUMALITE PANEL
W/ DIGITAL WOOD IMAGE