HomeMy WebLinkAboutPermit Permanent Sign SN-15-45 - STAPLESPermit Number SN-4r
MY of South Burllugton, Vermont
Application for Permanent Sign Permit
1) QOCWy� NER OF R`ECCOR�D `(Name as -shown on d/=L mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, Phone and fax #7 �."�- �v_L.nA% 8 r)
3) SIGN LOCATION (include�usidess name, addles, & phone
4) TAX PARCEL iD it (can be obtained at Assessor's Office)
) SIGN Nn RECl OR (Name, mailing address, phone and fax #):
7) DATB OF ERECTION B 1-7 -
1 B SIGN DATA
/ WALL SIGNS gist sire in sq. fl., Ulmtizedon, & type FRE&STANDING SIGN
such as Pu4or cut-out l ttkr)
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2 U v1✓RALL ttBIGFTI': _ w
SI LE (in sq- fL): TY'PF. OP YELL VATION:
NOTE: A seal d 'Off cgch Propp� s*bo gu�aa t,ug tiro color of the sip andnogg the tiimetuioas of each sign.
9) DATE OF D MGN REVIEW APPROVAL (if applicable):
Iti) Applicant Signature Date. " i,
011) Siguatn" of L MBuilding Owner.-------,� Date: �^ 2 z--2 p
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Do not vnite below this am
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Fee: Eication -ec Q Approved
Code Officer Si
Location- Risk Level: -8"x IOI f ���
Sign Size: 2'- 8" X 8' �JL�
Store #0166, South Burlington, VT Banner Size: 5' x I — WJ~
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0166 South Burlington, VT .cdr