HomeMy WebLinkAboutPermit Permanent Sign SN-14-40 - SHELLPermit 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 #)
St Pierre Enterprises, LLC - Ray St Pierre - 316-9517
Champlain Oil Company, San Remo Drive, South Burlinaton, VT 05403
2) APPLICANT (Name, mailing address, phone and fax #)
Interstate Shell, 1055 Williston Road. South Burlinaton. VT 05403
3) SIGN LOCATION (include business name, address, & phone ft 1055 Williston Ro;
South Burlington, VT 05403
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #): Self
Rav St Pierre
7) DATE OF ERECTION 9-16-14
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1.
12' sq sign - poster
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF 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 D SI N OVAL (if applicable):
10) Applicant Signature. Date: 1— M
11) Signature of Land/Building Owner: 7/Z _7
Do not write below this line
Fee: tion: cted ❑ Approved
Code Officer Signature: Date:
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