HomeMy WebLinkAboutPermit Permanent Sign SN-17-13 - SB PHYSICAL THERAPYf . t t v c}f qnl l i h Rl ti'1 ari of on Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and f-- #�
Maekenna Alexis Holdinqs, LLC _
1879 Williston Road, South Burlington, 05403 (p; 802-448-3768
2) APPLICANT (Name, mailing address, phone and fax #) Casey Baczewski
1879 Willistion Road. South Burlinaton. 05403
802-338-1406
3) SIGN LOCATION (include business name, address, & phone #): 802-338-1406
South Burlington Physical Therapy, 1879 Williston Read, v6403
4) TAX PARCEL ]D # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #): Signorama
3073 Williston Road. South Burlinaton. 05403
shone: 863-6233 fax: 863-6324
7) DATE OF ERECTION. 9 I t —7
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
I such as panel or cut-out letter)
FREE-STANDING SIGN
1.I
SIZE (in sq. ft.):�
2.5 sq feet: 6 in height x 60 in lengj
--��
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
j6 inches j
1 TYPE OF ILLUMD ATION:
_
laluminurn composite
C7,_k--Ch i i
Tv4_Al vv_,,
-r t S )Yh
8 -Feiii
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: ,t'..& A Date: ;5/ 2—sh
11) Signature of Land/Building Owner. Date: 3J i
x i
•reesssssrsssereesrssssrreesereeesrerssrseeesssssresssesee•sseesssss•♦seeessr•
Do not write below this Gne
ssres•esserersesessessses•ss••seers•eesr••ssesssessrsaresereeesesssseeesse• re
Fee: Application: Rejected ❑ Approved
Code Officer Signature: Date: /
,SV5