HomeMy WebLinkAboutPermit Permanent Sign SN-14-35 - ALLENWOODPermit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) O))R OF RY-COy (Name as show-n on deed, mailing address, phone and fax
2) APPLICANT (Name, mailing address, phone and fax fl—Ulp-111—SL U V tz
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3) SIGN LOCATION business name, address, & phone #):
S 0. 3!Lv La(om o )rr ccs LJ o
4) TAX PARCEL lD # (can be obtained at Assessor's 'Office)-po-4/0 . aO4? Z-0.
5) SIGN FR14CTOR (Name, mai'ing address, phone and fax #):
7) DATE OF FRECTION —,av ' / �-`
8) SIGN DATA
'WALL SIGNS (listsize in .—q—ft—, illumination,—&t—ype'
such as panel or out -out letter)
FREE-STANDING SIGN
SIZE (in sq. ft.): -7 Q" X 3D"
OVhMJ-, IfEIGHT: .1
"I' YPE OF rLLUMT\1 A—TION:
scaled —rende'ring of —eac-h- proposed —sign gust
the dimensions of each sign. be submitted illustrating & color of tb,: sign and
9) DATE OF DESIGN REVIEW A 1ROVAL (if applicable):
10) Applicant Signature: Date:
11) Signature of land/Building Owner,
Date:
............. ..........
Do not write below this line
Fee. Application: Rejected Q Approved
Code Officer Signature: Date:
1
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= A Pillsbury Senior Comrlunity
Allenwood
A Pillsbury Senior Community
Title:Pillsbury-Harbor/Allen
Date: 05/27/2014
COLORS SHOWN ON THIS PROOF WILL BE DIFFERENT FROM THE FINISHED Proof Version: 01
PRODUCT! WE CAN NOT BE HELD RESPONSIBLE FOR SIGN COLORS NOT
MATCHING PROOF. WE WILL PRINT EXACTLY WHAT IS HERE UNLESS YOU
r11EQUEST A CHANGE. s e
Before approving, examine the accuracy of information such as spelling, phone number,
colors, qty, etc. If no revisions are needed, please confirm. If revisions are needed, note such 29 Myers Court - (802) 864-4791
on the email or call us at (802) 864-4791. We will email a revised layout for approval.
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