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Permit Permanent Sign SN-17-06 - EXTENSION UVM
t Permit Number SN- - O City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF CORD ame as shown on deed, mailing 4ddress, phone and fax #) 2) APPLICANT (Name, mailing address, phone and faxJr41.1, kc_ g.7 z 3) SIGN LOCATION (include business name, address, & phone C_{r/?� 4) TAX PARCEL ID.# (can be obtained at Assessor's Office). / 5) SIGN ERECTOR (Nance, mailing address, phone and fax #): pejJ xt 7) DATE OF ERECTION tom- t,S1,YITS S) SIGN DATA AM 40 (41 L re EXI17-1,I11c WALL SIGNS (list size in sq. it. ' ination, & type such as el or cut-out letter FREE-STANDING SIGN 1. SIZE (in sq. ft.): �. 2. OVERALL HEIGHT: / SIGN E WALL A sq. ft.): TYPE OF ILLUM[NA ON: ,� r� � IIL� �. Gi G� � ✓' � ,C 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 DESIG0,g TAPtOVAL (if applicable): 10) Applicant Signat' Date: . 11) Signature of Lanwner: Date: Z� Do not write below this tine Fee: Application: Rejected ❑ Approved -- 9 Code Officer Signature: Date: C_ 11 in. by 24 in. address sign NANcyJm NANCY JENKINS REAL ESTATE REAL ESTATE ARTEX RISK SOLUTIONS, INC. EXTENSION The University of Vermont 12 in. by 96 in. business name sign panels 99 in Designs are copyright © 2016 by Design Signs, Inc. and may not be used without permission. 802-872-9906 designsignsvt.com UVM Extension / Steve Hackett 140 Kennedy Drive January 27, 2017