HomeMy WebLinkAboutPermit Permanent Sign SN-14-64 - PURE BARREPermit 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 #) iu S rT s'/yx�r
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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 #):
7) DATE OF ERECTION % Z — / 1 — ) 4--
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as anel or cut-out letter)
FREE-STANDING SIGN
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SIZE (in sq. ft.):
2
OVERALL HEIGHT:
41
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
3z4
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NO t r;: H 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 Signature: Date: /J — Z4 — 1 c-
11) Signature of Land/Build' Owner: S��' Date:
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Do not write below this line
Fee: Ap lication: Reje ted ❑ Approved
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Code Officer Signature: Date: I
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