HomeMy WebLinkAboutPermit Permanent Sign SN-16-26 - VERMONT TEETH WHITING SALONPermit Number SN---(� -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD Tamc as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Nam/e,wmailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
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
such as panel or cut-out letter)
FREE-STANDING SIGN
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2.
OVERALL HEIGHT: i
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each si n. 44 � 04 fn i Fe tAl"
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9) DATE OF DESIGN REVIEW APPROVAL (iT applicable):
10) Applicant Signature: Z V1, LiaadbI4 Date:
11) Signature of Land/Building Owner: Date: 4 4p//JZr
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Do not write below this line
Fee:
Code Officer Signature
Ap cation: Rej ected
Approved
Date:
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