HomeMy WebLinkAboutPermit Permanent Sign SN-16-42 - FARNHAM ALE & LARGERPermit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) O�VJNER OF RECORD Nine as shown on dee* mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone #): 5?a jFAq .—
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION 37—
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
1. Z 0 SR . 0P SIZE (in sq. ft.):
a ^ e.,
2. Z O S1 (�r QILAe-' OVERALL HEIGHT:
SIGNABLE WALL AREA (in so. ft.): _ TYPE OF ILLUMINATION:
t. 2374 s,. 4. _
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 REVIEW APPROVAL (if applicable):
10) Applicant Signature: 7/-- Date: T' Z3 `
11) Signature of Land/Building Owner: LDate:
..••.•.•.•.•.•.••.••••••••••••.•••••.•••••••••...•.••.• •••••••••••••••••. •.••
Do not write below this line
Fee: v Application: Re'ected ❑ Approved
Code Officer Signature: Date:
i'