HomeMy WebLinkAboutPermit Permanent Sign SN-14-16 - LASER TATOO REMOVAL\\j
Permit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD fNamq asAown on y eed, mailing address, phone and fax #)
�f, ,fir✓i,ll S'fl� 6rJr�' / �3
2) APPLICANT (Nam, magin& address phone and fax #)
3) SIGN LOCATION (include1�� us ees�s name address, & phone
4) TAX PARCEL ID # (can be obtained at Assessor's Office) �/ 2Q
5) SIGN ERECTOR (Name, mailing address, phone and fax #): , c/t .�r�'s�r✓
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
1. SIZE (in sq. ft.): 7�
2. 5-�X �� OVERALL HBIGHT:6Lit I
SIGNABLE WALL AREA (in sq. ft.): I TYP OF ILLUMINATI N�
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 REVIEW APPROV L (if plicable):
10) Applicant Signature: Date: )30 %1"
11) Signature of Land/Building Owner: Date: 3 O
11
Do not write below this line
Fee: A 'c Rej (p::p:rovDed
Code Officer Signature: Date:
X 7v--4 33— 70 ,
BU',r--.DING SIGN
LASER
TATTOO
REMOVAL
OF
VERMONT,
LLC
OuLoor Signs
McFarland -Johnson, Inc.
Engineering, Planning, Surveying & Construction Administration
olden
Sun
Healing Center
LASER TATTOO REMOVAL OF VERMONT, LLC