HomeMy WebLinkAboutPermit Permanent Sign SN-14-28 - PIER ONEc
Permit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWN OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) A PLICANT (Name, mail' g address, phone and fax #)
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2 '7 4-- 36 Lb +1 (dryn
3) SIGN LOCATION (include business name, address, & phone #)
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) 0 (p 15-0000-1
5)
7) DATE OF F,RECTION [ No d F s.T U N r'
ZS) J1CiN VA 1 A
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
1. 1 _ SIZE (in sq. ft.):
46S
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2. " 1;" ' ' ' OVERALL HF,IGHT: —�
SIGNABLE WAL A (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,1E-W"ARPR9"-A,,L(if applicable):
10) Applicant Signature: Date: ..."
11) Signature of Land/Bui ding Owner %�1L>p� Date: Z
Do not write below this line
Fee: LALDplijecd ❑ Approved 9
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Code Officer Signature: Date: 5 /
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