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HomeMy WebLinkAboutPermit Permanent Sign SN-14-69 - SPRUCEWOOD DENTALDec 29 14 10:30p Julie Spaniel D D S 802864752G I Permit Number SN- I - City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name 2) APPLICANT(Name, mailip_g-a i as shown on deed, mailing address, phone and fax ddress phone and E 3) SIGN LOCATIOti (inclu4e business name, address, & phone r): 4) TAX PARCEL ID 4 (can be obtained at Assessor's Office) dj20 OL OR SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type I FREE-ST-A_N-DING SIG'_` such as panel or cut-out letter) I. ( SIZE (in sq. fL): 12. OVERALL FIGHT: G ; SIGNABLE WALL AREA (in sa. ft.): i TYPE OF ILLUNILVATION: 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 REVS, APPROVAL �#plicable): // 10) Applicant Signature: '� �f.��,�. Date: l l) Signature of LandBuilding Owner: ••ee•••..r.•.••.••••...••e.e•.•••••.••e.•••ee•••••ee•r•es•••••es••e••••••••se Do not"write below this line •ee••e•e•ssee•••s••••••e•srer•es•••r••ees•re••••es•••e•esee•ree••••••sse•••• Fee:A on: Rejec d ❑ Approved Code Officer Signature: Date: �� 3� Sprucewood Dental 72"w x 42"h 21 sq.ft Option D. Sprucewood 72"w x 42"h 21 sq.ft. Fit 1�Sft -- C "-t35`sq. ft.-1 S AMMEL S I G N lr,in Road ,,,miont 014n2 r(802) 879-3.360 Copyright ©2013 Sammel Sign Company All Rights Reserved Utilizes 3,-4;-5 sq.ft. of 40 sq.ft. Allowed. I approve this artwork as submitted. I understand that any changes or corrections after this approval is signed may result in additional charges and I agree to those if necessary. I further understand that the design is the property of Sammel Sign Company and may not be reproduced without written permission. Approval Signature Date