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Pcirmit'Nuniber SN-
City of South B-Liflington, Vermont-3
Application for Permanent Sign Permit
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1) OWNER OF RECORD (Name as showAi on� 4cod, rnalp. i a dwfis, V)RIWIA
(N, mailjng address, phone and fax
2) APPLICANT-
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3) SIGN LOCATION (include by mess name, address, & phone
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4) TAX PARCEL 1D # (can be obtained at Assessor's Office)
5) SIGN FRECI-PM (Name, mailing address, phone and fax#): A Lo
7) DATE OF FmcrtoN 11-15 t-e / - /,v - -P *417
8) SIGN DATA
W-Ikl-L SIGNS {list size in sq. ft., ---
T-AFE-STANDING SIGN
y c:V-
L T77F, (in sq, ft.)::
2.
Ov VRAIJ- HEIGHT:
—11—
�-ST—CYN-A—BL—E-WALL AP—,L-A-(—�k—ftl-),:
TYE'Ju OF ILI.UML�1A ION:
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- n 3—JV-U IVIIIJUTHIF, V1 CaCn PFOPUSC42 Sign ni"m Do VADMIlWd 111UStroUng t1W V)101 01 the Stga and
noting the dimcmions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL, (if applacablc):
1{3) Applicant Signature:
Date.
11) Signature of Land/BuildinjOwned' Date: U
000*06 go" 0000** 6*00 *a* 00 0 as rot*••ao•h to
Do not write below this line
#006000000 0 0. a.*. 09906off
Fee: Ap i, tie : Rejected a Approved
Code Officer Signature; Date:
https://mg.mail,yahoo.com/neo/Iaunch?.rand=aj1ngf6r6ig0f#9213559707 2/2
DORSET SQUARE ASSOCIATES
c/o Neville Companies Inc
30 Kimball Avenue
South Burlington, VT 05403
September 26, 2014
Mr. Ray Belair
City of South Burlington
575 Dorset Street
South Burlington, VT 05403
Dear Mr. Belair:
This letter is to request of the City that you accept the signature of John Wilking of Neville Companies as
my authorized representative in all matters requiring an owner's signature for a permit at 150 Dorset
Street, including specifically the peddler's permit.
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Sincerely,
Mervin Brown
Dorset Square Associates
802-764-1630
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