HomeMy WebLinkAboutPermit Permanent Sign SN-13-64 - HEATHERFIELDCPermit Number M_lq2 -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on dced, mailing address, phone and fax #)
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2) APPLICANT (Name, trailing address, phone and fax 9)
3) SIGN LOCATION (include business name, address, & phone #): 3esLr Aa4t45
4) TAX PARCEL ID # (can be obtained at Assessor's Office) I b'10101VISO
5) SIGN ERECTOR (Name, mailing address, phone and fax
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 letterer _ _ _
( 1. _. SIZE (in sq. ft
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2. OVERALI, HEIGHT: i
SIGNABLE WALL AREA (in sq. fl.): TYPE Or ILLUMINATION: ^
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of eseh sign.
9) DATE OF DESIGN W APPROVAL (if applicable): —
10) Applicant Signature: Date: l r
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11) Signature of Land/Build' Owner: — � Date: _
Do not write below this line
Fee: �.._�. Applicat' n: cted CApprov
Code Officer Signature: __ ___ Date:
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Heatherfield Townhomes
EXTERIOR FREE-STANDING STREET SIGN
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OPTION #3
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