HomeMy WebLinkAboutPermit Permanent Sign SN-16-20 - CVS PHARMACYCPermit 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 #)
2) APPLICANT (Name, mailing address, phone �andfax #)
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3) SIGN LOCATION (include business name, address, & phone ft
W ; 111,5 �b ,>J �T T-) n (t � cr I-
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
pb y gkJ7J s),�aLs io.5 �54hyeL Arc/ r ev �7
A)Ef w - BAM �Q (D M►g
7) DATE OF F,RECTION tJa e-k V-1 -1 7 -
8) SIGN DATA -50JAe Lrvq.-n o_> PHrL Ic t 0_q L.c v—
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1. �
�� i s �'X �6 "q "'
SIZE (in sq. ft.): _
3,3 " Y 1
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
/aa X a" _ 317d,5F
"c JAL
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: Date: '
11) Signature of Land/Building Owner: Date:
Do not write below this line
Fee: Application: Rejected Approved
r
1 Code Officer Signature: Date: