HomeMy WebLinkAboutPermit Permanent Sign SN-15-01 - CITCOPermit Number SN- _
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #) f4l-k� iil ikM5,1-A%JZ, �0
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3) SIGN LOCATION (include business name, address, & phone #): `1 i F�� lt'ti9'✓L
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 6 nL40rt" Olk— C=C).
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7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
(6/IS7"!v
such as panel or cut-out letter
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SIZE (in sq. ft.): i /f3 5f;=
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2.
OVERALL HEIGHT: & y
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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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 P OV L (if ' plicable): fjA'
10) Applicant Signature: Date:
11) Signature of LandBuilding Owner:
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Do not write below this line
Fee: Application: Rejected ❑ Approved
Code Officer Signature: Date:
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EXISTING SIGN PROPOSED SIGN