HomeMy WebLinkAboutPermit Permanent Sign SN-13-73 - FUSION 802Permit Number SN-_—tl_L__
�) City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax ft
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7) DATE OF ERECTION ) 2
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
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SIZE (in sq. ft.): P
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2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYP/hE1 OF ILLUMINATION:
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r= F—U 31rL1 uLusL uc suormneu uiustratmg the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: Date: )'2 26- k ' 13
11) Signature of Land/Building Owner: Date: J2 Z 6 2,a) 3
Do not write below this line
Fee: J Application: ejected proved
Code Officer Signature: Date:
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