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HomeMy WebLinkAboutPermit Permanent Sign SN-16-35 - KAREN LAROW MA MFTPermit Number SN--k--!� City of South Burlington, Vermont Application for Permanent Sign Penn � OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) F--7- ST: RtF"L &57-ATE 2) APPLICANT �Yo 3) SIGN LOCATION (include business name, address, & phone fl: EOC k- -TiC jo C CH -3-Lz- 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 5) SIGN ERECTOR (Name, mailing address, phone and fax ft _ !S 7) DATE OF FRECTION 36 Lk L) SIGN DATA _— WALL SIGNS (list size in sq. ft., illumination, & type such�anel ear cut-out letter) 1. C7,-7 M 0 U IQr, FAC;iVG, UiSt-r 5/. SIGNABLE WALL AREA (in sq, ft): a, �,)-6 SF (36 � 4)045r-7- n"JLY I NOTE. A scaled rendering of each proposed sign must noting the diniensioas, of each sign, FREE-STANDING SIGN SIZE (in sq. ft.): QVERALL HEIGHT. h-nirte,i illustrating the color of the Sign and 9) DATE OF DESIGN REVIEW. APPROVAL if applicable): 10) Applicant Signature: jq = Date- 11) Signature of Land/B/-Iuilding Owner-.0 4 Date: Do not write below thin line Fee:. ;Rmation: Rejeo 6plr9�1� Dat— CodeOfficer Signature: �� Karen Larrow, MA MFT, LCMHC —Individual & Couples Therapy — Cut graphics are 70x9.5"cut on black vinyl On provided substrate yI Karen Larrow,''' A MFT, LCMHCCompany: Office front sign YIPES, ON 740 Marshall Ave. Williston VT 05495 I Phone: (802) 658-5536 I' Fax: (802) 864-3580 I Web: yipescorp.corn -161ipes. G, pow lon_ All tights Repro&, t-, n v.hoh r, 1n part of a y artmod .vi h-T the exp,es_ p.. m ;,i.>r of y pe, I Corp. s poF bhed V 71 or t -frep. pe rnlssion from Yip,' Vinyl Colors: Page Option: 1'