HomeMy WebLinkAboutPermit Permanent Sign SN-16-54 - HIGHER GROUNDPermit Number SN- -_
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RRC O (Name ac Abnwn
2) AP�44�'CANT (Name mailing address, phone and fax #)
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3) SIGN LOCATION (incldde name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) ZUp
5) SIGN E F,CTOR (Name, mailing address, phone and fax #):
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7) DATE OF ERECTIOON
8) SIGN DATA / 7
WALL SIGNS (list size in sq. R., illumination, &'Ic
such as panel or cut-out letter) pa i A i� M tJ (-GA, l
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FREE-STANDING SIGN AI
SIZE (in sq. ft.):
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SIG ABLE W I A n + .� TYPE OF 1LLUMIN e Trni r
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NOTE: A scaled r&-dedni o each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
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9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: r Date: 51(P
11) Signature of Land/Building Owner: Date: 9
Do not write below this line
Fee: Application: R ' cted ❑ Approved
Code Officer Signature: Date:
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