HomeMy WebLinkAboutPermit Permanent Sign SN-13-68 - LAKESIDE ENVIRONMENTAL'X
Permit Number SN- - b
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) PCN1,4E
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3 SIG. OCATI (include business name, address, &phone #)
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 4 5�+(2
8) SIGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter) 17-1' 1- 4 41'
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SIZE (in sq. ft.):
2 • Q 1% toe, p( W j 12V Hi
ERALL HEIGHT:
SIGNABLE WALL A (in sq. ft.):
TYPE OF ILLUMINATION:
360
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 APPROVAL (if applicable):
10) Applicant Signature: — Date:
I
11) Signature of Land/Building Ownef___;_",: Date:
.••.••.••.•..•.•....••........•.•.••.•.•.•.•.••••.•.•••••.•.........•..•.•.•..
Do not write below this line
Fee: Application: Rejected Approved
Code Officer Signature: X 2 L Date:
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LAKES I D E
ENVIRONMENTAL GROUP
3 . L b sf