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Permit Permanent Sign SN-16-56 - NANCY JENKINS - ARTEX
1) OWNER OF Permit Number SN- City of South Burlington, Vermont Application for Permanent Sign Permit as shown on 6 a 4 - y/__> ,6z2-L 2) APPLICANT (Name, mailing address, phone and fax #) O�y9Gi fl y'.i r-7n Zra )k 9 C'-7i/ Lc- raj.. 1 T Or 3) SIGN LOCATION fax name, address, & phone ft A/ 4) TAX PARCEL ID. # (can be obtained at Assessor's Office). 5) SIGN ERECTOR (Name, mailing dress, phone and fax #): 7) DATE OF ERECTION 12-e Cell o. ey— 7,aff 8) SIGN DATA WALL SIGNS (list size in q. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out lett E! 4&4; ZO T Af U11 1. A 11,4 SIZE (in sq. ft.): 2. OVERALL HEIGHT: / SIGNABLE W L AREA (in sq. ft.): TYPE OF ILLUMINATION: 16Kldr ltii� 4/�0u4d 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 10) Applicant Signature: 11) Signature of AL (if applicable): Date: /Z - Z Date: Z- - l •..•.•.•.•.••.•.••••.•••••.••••••••••.•.•••••••••.•••••.••••.•••••••••...••••. Do not write below this line ••.•.•0•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• •• Fee: �2 Application: Reject d Approved w Code Officer Signature: Date: >S' 0 c �i 11 in. by 24 in. address sign it and re -used 140" address plate. Designs are copyright © 2016 by Design Signs, Inc. and may not be used without permission. k1o"�802-872-9906 designsignsvt.com Steve Hackett 140 Kennedy Drive August 1, 2016 �iyllfJl. �/1 d�n. 1 ARTEX RISK SOLUTIONS, INC.