HomeMy WebLinkAboutPermit Permanent Sign SN-16-04 - ACA ATOBODYr
Permit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
OWNER OF RE ORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #) A m Ar e ,.,i
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3)aSIIGN LOCATION (include business name,, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): X 01 t,. ► AVc
7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.): cr
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2.
OVERALL HEIGHT:
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 sign.
9) DATE OF DESIGN REVIEW OV (if icable):
10) Applicant Signature: ate:
11) Signature of Land/Building Owner: Date:
Do not write below this line
Fee:—1Application: Reject d ❑ Approved
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Code Officer Signature: Date:
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