HomeMy WebLinkAboutPermit Permanent Sign SN-15-56 - GRACIESS
Permit Number SN-- ,J
City of South Burlington, Ve#nont
Application for Permanent Sign Permit
1) OWNER OF ORD azZne as sh�wn on deed, mail 3g addr s, one end fax #}
1 'A
2) APPLICANT (Name maillAing address hone and fax
3) SIrN LOCATION (include business name, address, & ph(
4) TAX PARCEL M # (can be obtained at Assessor's Office'
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION �� \Y-�1 L,
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out
FREE-STANDING SIGN
letter
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SIZE (in sq. ft.):
2• S t—V,
OVERALL HEIGHT:
SIGNAB E W. L AREA�.n
sq. ft.):
TYPE OF ILLLMINATION:
ivvl F. ti scaieu remuenng or eacn proposea sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIE PROVAL (if applicable):
10) Applicant Signa Date: Y l J
11) Signature of Land/Building Owner: 74 at
Do not write below this line
Fee: "tion: Approved
Code Officer SignatureDate: ��
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