HomeMy WebLinkAboutPermit Permanent Sign SN-15-05 - LIVING WELL SPINAL CARE\V
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Permit Number SN-t,5,-- o
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) WNER OF RECORD ame as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address hone and fax #) Tiffany Renaud, Inc.
Living Well Spinal Care Center, 30dO Williston Rd., Suite 3, So. Burlington,
3) SIGN LOCATION (include business name, address, & phone #): same as above
4) TAX PARCEL 11D # (can be obtained at Assessor's Office)
I SIGN ERECTOR (Name. mailing address, hone and fax #ll: Design Signs
Sohn, Floyd, 4 Andrew Ave, Essex Jct, VT 05451 802=79-9906
7) DATE OF ERECTION TBD
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
lettering on white bkground
14-(F (in sq. ft.):
STZPanel,red
2.
1WRALL HEIGHT:
iABLE WALL AREA (in sq. ft.):
gl
TYPEalF ILLUMINATION:
NOTE: 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 APPROVAL (if applicable):
10) Applicant Signa re: Date: 10120/ 14
11) Signature of Land/Building Owner: Date:
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Fee: Application: Rejected ❑ Approved
Code Officer Signature: .- Date:
M ISTON ROAD, LLC
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IN WrTNESS M. the t n of the t iAnpa ;y execumd this
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WjUmm Road,
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Living Wel
Spinal Care Cente
658-6092
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