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Permit Permanent Sign SN-17-03 - WOODLAND COMMONS
Permit Number SN- / I v City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 2) APPLICANT (Name, mailing address, phone and fax #) ($OZ) -1U1t la R12t.11.1 l0Z k.tw4,.3L _ ay.e . Cu IT-e �1 3) SIGN LOCATION (include business name, address, & Dhone #): ooDW_ (CMMnt�S T 402. KimsaL � �yj S . �1A�2LIticn�N ,v I a5L1o3 4) TAX PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION l 2/ t y l co 9) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter FREE-STANDING SIGN 1. SIZE (in sq. ft.): Li O 2. OVERALL HEIGHT: I Z 1 i SIGNABLE WALL AREA (in sq ft.): TYPE OF ILLUMINATION• lA 51 1Y11 f1t trYl oYv1 oSl �Q l QQ_- I eC-i i v.�_ NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and -VP-X+ +01Z_ noting the dimensions of each sign. ackap_eSS on I�A 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): 10) Applicant Signature: O '� .`-� Date: ► 3 11) Signature of Land/Builcl Own e . te: 3 " ......•.......•.....•.................•..•.•.••.••.••••.•..•.•...•••.......... Do not write below this line •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Fee: ,/ " Appli on: Rejected (p:p:r:o v e Code Officer Signature: Date: Designs are copyright © 2016 by Design Signs, Inc. and may not be used without permission. ' OPTION 7 - Woodland Commons Julia Birnn Fields 802-872-9906 November 2, 2016 designsignsvt.com