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HomeMy WebLinkAboutPermit Permanent Sign SN-14-56 - TLC HOMECAREPermit Number SN-- City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown o deed, mailing address, phone and fax #) 2) APPLICANT (Name, mailing address phone and t IVvrsSn5 �SS_ 3) SIGN LOCATION (include business name, address, & phone #): �OLC Nt5ln�, C-�Sr- l SSQ) CA 11 li it Tl_?,-� SD 2v L- 4) TAX PARCEL ID # (can be obtained at Assessor's Office 5) SIGN ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter) 2. SIGNABLE WALL AREA (in sq. ft.): NOTF• A I.A. -Ae SIZE (in sq. ft.): 'Skr,n x �o li OVERALL HEIGHT: TYPE OF ILLUMINATION: i jO) v. . -___ ______-__.11 - k1- yF , „Sll lllu,L uG hummuCea inustrattng the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN RE PR VAL ' plicable): 10) Applicant Signatur : Date: 11) Signature of Land/Building O er: Date: Do not write below this line •.•.•.•.•.•.•.•.•.•.•.•...•.•.•.•.•.•.•.•.•.•.•••••••••••••••••••••••••••••••• Fee: NN` Application: eJ c ed A ro ve Code Officer Signature: Date: l Project: Road Signage © 2013 Yipes! Corporation. All rights reserved. Reproduction in whole or in part of any artwork without the express permission ofYipes! Corp. is prohibited without written permission from Yipes! Vinyl Colors: as CMYK Date: 10/24/14 M Pn HOMECARE hen Tou XeedCahe, TLC is There! IJINEW- �Kon� 4/IJ��AK 740 Marshall Ave., Williston VT 05495 1 30" Substrate: Phone: (802) 658-5536 Fax: (802) 864-3580 Page Option: 1