HomeMy WebLinkAboutPermit Permanent Sign SN-16-27 - ANN ROUCHE FURNITUREPermit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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3 73.- 9 ev,
2) APPLICANT (Name, mailing address, phone and fax #) /IN,✓
F U1r�A!1-611ZS L-.,WV D045t<It—_57. Au. +i
3) SIGN LOCATION (include business name, address, & phone #): /)ivy Aje-m
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): S 1Ck1 -,t je&6.,j
7) DATE OF F,RECTION 1" & 1� 5 'ia-i) ,� r r.
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as anel or cut-out letter)
1.
SIZE (in sq. ft.): 5
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NU I h: A scaled rendenng of each proposed sign must be submitted illustrating the color otithe sign and
noting the dimensions'of each sign.
9) DATE OF DESIGN REV APPROVAL APPROVAL (if applicable): 5� l►���
10) Applicant Signature:
11) Signature of Land/Building Owner:
Date: - df 0/6
Do not write below this line
Fee: ca ' R ' I pro
Code Officer Signature: Date:
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4ft x 6ft incise -carved and 3D sign
Mounted on 6x6 stained wooden posts
with painted steel side spacer brackets
1 Installed to a max height of 1 Oft +/-
1 Sign is incise carved high density urethane
Background is painted forest green with burgundy edge
Incise carved and gilded (23K gold) inset border
Incise carved and gilded (23K gold) letters
Raised address panel and carved Kasazza Kids panel
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