HomeMy WebLinkAboutPermit Permanent Sign SN-13-65 - SAIGON SANDWICH.A
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Permit Number SN-�-
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, hone and fax #} N 0 (1' C=�
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3) SIGN LOCATION (include business
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address, & phone ft l olu 9,A/y) �OcwC�
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4) TAX PARCErID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION
8) SIGN DATA A4 (� A-1 4r-, A Cbti ,YJI.;/L /'_"c
WALL SIGNS (list size in sq. ft., illumination, & type
such as el cut-out letter
FREE-STANDING SIGN
1. j y ^'
SIZES
'S(in sq�ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL I§,(in sq. ft.):
TYPE OF ILLUMINATION:
ivu i b: 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: r� 1
11) Signature of Land/Buildi Owner: Date:
.....••.•.•..••...............
Do not write below this line
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Fee: A ' tion: Re' cted proved
Code Officer Signature: �. • Date: r //,e//,
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