HomeMy WebLinkAboutPermit Permanent Sign SN-15-43 - BLUE WAVE TAEKWONDOPermit Number SN-_f - -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, m ding address, phone and fax #)
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2) APPLICANT (tame, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, &phone #): �� 4thq UE
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax ft
7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter)
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2.
SIGNABLE WALLA -YEA (in sq.,ft.2: }___
NOTE.: A scaled renderingd of each proposed sign m st be
noting the dimensions of each sign.
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FREE-STANDING SIGN
SIZE (in sc7. ft.): „ P:^e-��s �r5
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OVERALL HEIGHT: b-e� I-edbo e_
TYPE OF ILLUMINATION: t9,ifhe--
the color of the sign and
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: A Date: o
11) Signature of Land/Building Owner Date:
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Do not write below this line
41'9
Fee: o Application: Rejected❑ Approved
Code Officer Signature: Date:
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Blue Wave
TAEKWONDO
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