HomeMy WebLinkAboutPermit Permanent Sign SN-15-28 - JS HOT STONE MASSAGEPermit Number SN--I - 1t
City of South Burlington, Vermont L '
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
70S -e/7!? /6 k aft/ 7 S Sot/ Wi rlGOs �C/ j y erl 4-e
lJ or? e PO 2 F X- Y 0 7
2)%APPLICANT ame, mailing address, phone and fax #)
CYr t7 O
3) SIGN LOCATION (include business name, address, & phone #): _ � 4) _j
A6 1-S'T'h e. /fassaPe S.� Ly`i i Tc s /--
4) TAX PARCEL ID # (can be obtained at Assessor's Office) / 0 —0(5 5_� 5 '
5)S`IGN ERECTOR (Name, mailing address, ph/one}'and fax #):
✓ �R ✓7 Cc ra H'l Gt.
7) DATE OF ERECTION ul ` %�-
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1. / /Y i _
SIZE (in sq. ft.):
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
ATn'M A ...... 7...1 __-'--_ _ _r
_. � scaleu rende ng 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: aate:.
11) Signature of Land/Building Owner: G (cC
..••...••••....•.•..••.........•.•...•...•.•.•..•....••••..••.•••.•..•.•..•.•.
Do not write below this line
Fee: Appli 'on: Rejected pprov
Code Officer Signature: , Date: /� /✓
2ft x 3ft aluminum composite
t