HomeMy WebLinkAboutPermit Permanent Sign SN-15-07A - URGENT CAREV
0Permit Number SN- -
City of South -Burlington, Verinont
Application for Pernlanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
lbv-Air q1 n, v-r O Sy02
2) APPLICANT (Name, mailing address, phone and fax #,
Scau- 5RZ- 02-53,.x 155
-Te(Nvillf-, CT sw -553- 0qy q
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
We%k Cha , ivy 12cig2
7) DATE OF ERECTION s rn"
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
L
SIZE (in sq. :
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
lk10
NUPE: 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 AP O (i app 'cable):
10) Applicant Signature Date: ,Z // 1s-
11) Signature of Land/Building Owner: �ee A wb6 -%jmn Date:
Do not write below this line
Fee: 7 Application: Rejee ❑ Approved
Code Officer Signature: - Date: 1 /�
ched dd, 9n joae*
AL
AUTHORIZED SIGNATURE DATE
Print History Date Description
Title Clear Choice MD
Sign Type Banner
��� � ���0
S v N G Fi CJ LJ I
I Tremco Drive. Terryville. CT 06786
phone: 860.582.0233 fax: 860.583.0949
signssd lauretanacom www lauretano.com
9116BR 2 5/15
City/State South Burlington, VT
Location Entrance to property
Customer Clear Choice MD
Size 5' 7" x 5' 7" 31.1 sq ft
Acct Exec ML
Description
Quote 30327
Di hall anted banner.
Line 16
: 2
DI
This dewing cattaia ongnal dements created by Lauretr no SWGap. Inc . and n wbiect to ad applicable copyr4w laws. it. also the poi—ey d L auretano Sign Gap. Inc ,"it it. intended far rewew aril oval . repn�duced, coped, trammitted bY. ekctrcnic nrdia, . r
e."htw in any li"Non c r frown to r 7— outside Y— organmim without the ew—d written oxtsmt of l- ur anto Sign Gcup, Inc This romans the v � Fany way until Tl p draw—, n e e by
de+gt propertyof Lauretaro Sign Gtwp, Inc. and may not be used in anyway until fuN payment n received by Lauretaro Sign Groapt let
6' 2,0"
BANNER LIFE 1-4 WEEKS
Digitally printed banner material
w/ grommets
6' 2.0"
Existing
cabinet
Scale: 1/2"=1'
303 C
■PMS:
CMYK: 96, 72, 52, 56
RGB: 2, 42, 58
HEX: #022a3a
OZ l
■PMS:
CMYK: 0, 82, 100. 0
RGB: 255. 80, 0
3M Trans. Orange PSV
F-1
,/Vhite .
TECHNICAL PAGE Marked dimensions are for internal quality control purposes.
Print 9116BR I Quote 30327 1 Install,tion Method Screws or twine
Date 2/5/ 15 1 Line 16 1
2 Oi Thr — zncaim original elements aaatexd by Lauretano S �s Grow, Inc,and is subiecttoal applimble mpyrtght laws It isalso the
I rarcxrc.malia,orechibit�inany fashion or dorm to arryax orxsie, your onpnution vAthoA the ecpressed vnkten con
Existing condition
FRONT VIEW
Note: For preliminary de5ien purpo5e5 only.
Acc.irate feld Survey and dimension verif cat on
required before beginning cor5tructior.
PROCEEDTO PRODUCTION
AUTHORIZED SIGNATURE DATE
LAURETANO
S I G IV G R O U F
I Tremco Drive. Terrwille. CT 06786
phone: 860.582.0233 fax: 860.583.0949
signs« lauretano.com wxvmlauretano.com
ry of Lauretaro Sim Group.lnc.,and K is inteirdedfor your ra�ievi ardapprrnol purposes only TNsdra-,kn is not to be reprcd--1, copied, tramnith*1
auretao Sign Group. Inc TNs design renuns the property of Lauretam Sir Group, Inc and nuy not be mead in aryy vay r myment is.ere_ hv.i
Feb 06 15 08:31a Grand View Farms
802-862-1611
p.1
LAU r�E
IVTANO
S I G G Ft 0 l _J F-
Al ITHORI7ATIM Tn II►1CTal 1 CIf%Alerr=
I/WE GIVE LAURETANO SIGN GROUP AND OR ECONOMY SIGN PFRMISSunN
TO SIGN THE BUILDING PERMIT APPLICATION AS MY AGENT,
AND TO FURNISH AND/OR INSTALL SIGN(S) AT:
Clear Choice MD
1200 Williston Road
South Burlington VT 05403
SIGNATURE OF OWNERIOWNER REPRESENTATIVE
NAME:
7T
(Signature)
NAME:iA.��An�%Z
(Please Print)
TITLE: �R 6 P��r AYA,J A<—Soz—
TELEPHONE #-
TODAY'S DATE: "./.116
COMPANY NAME:
STREET ADDRESS: P.O - /3O>,- a iA
CITY, STATE, ZIP CODE: , Vl- O$1 Z�
DRAWINGS:
QUOTE M
Bob Kuszpa, Lauretano Sign Group, One Tremco Drive, Terryville, CT 06786 Voice: 860.582.0233 x158 / Fax: 860,583,
---- - - ------ --- --
J