HomeMy WebLinkAboutPermit Permanent Sign SN-14-33 - MOSAIC LEARNINGPermit Number SN- I - �J
City of South Burlington, Vermont
Application for Permanent Sign Permit
OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) 1"l f i C� rn ►V o e i�n�
4A-3611 �iZiLoS� 4SI O fGa-0)
3) SIGN LOCATION (include business name, address, & phone 46 G
ng ce -1-u p _1A E+-i^,,,, A lam_ 6 v !. A. B vi O Sib 3.
4) TAX PARCEL ID # (can be obtained at Assessor's Office) O (p4 0 - O n O 7Z
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF F,RECTION 06wrova-L
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.):
t
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 DESIGN REV
IEW APPROVALA (if applicable):
10) Applicant Signature: I V o Jo Date:-, • .24
11) Signature of Land/Building Owner:y .� Date: (�—
Do not write below this line
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Fee: kApptication: ejected Approved
Code Officer SignatureDate: v 3
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