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HomeMy WebLinkAboutPermit Permanent Sign SN-16-49 - CHAPPELL'S FLORISTPermit Number SN- - City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Namelas shown on deed, mailing address, phone and fax #) 2) APPLICANT (�`�pme mailing addres�y phone and fax #) 1 `113 '"7 W i (l t S �� Rc-r c� Sv, Ku2--t/ J/'.7/ OSYO "—;, 3) SIGN LOCATION (include business name, address, & phone #): q-411-e_ &C)vr L5 —Y733 4) TAX PARCEL ID # (can be obtained at Assessor's Office) to/ 6) 6)1,13 -? 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION 8 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter 1. SIZE (in sq. ft.): W 6,Ow. A 3v, 1,1J 2• OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: NO IR 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 REVIEW APPROVjkL (if applicable): 10) Applicant Signature: A"_a44 Date: 1c1'71")/'C' J/ i, 11) Signature of Land/Building Owner: Date: /4 / Do not write below this line Fee: Applic 'on: Reject d ❑ Approved Code Officer Signature: Date: �!.�appel�'s Vk%