HomeMy WebLinkAboutPermit Permanent Sign SN-13-61 - PILLSBURY MANOR NORTHl
Permit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deyed, mailing address, hone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax
C�T�S-hhASc� . XO 0to_r-6r Vie.
VT O51403
3) SIGN LOCATION (include business name, address, & phone ft
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Niti V) 0Sq03
$0;L-$63_z386
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1`b10 d 1S3p
5) SIGN ERECTOg (Name, mailing address, phone and fax #):
7) DATE OF ERECTION A Ss vx otkfea1 QXiST3 vo-t v rt i-A ti v�¢,w
vt3n w� oor' Vv.w lie.. PVT
8) SIGN DATA 0
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter
1. SIZE (in sq. ft.):
2• OVERALL HEIGHTN /
M b
SIGNABLE WALL AREA (in sq. ft.): T%S
EOF ILLUMINATION:
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NOTE: A scaled rendering of each proposed sign must be
noting the dimensions of each sign.
the color lff the sign and
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: Date: l 1
11) Signature of Land/Building Owner: Date: /O 3
1117
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Do not write below this line
Fee: Application: Re'ected pprove
Code Officer Signature: v Date:
me
IIIIII III
Pillsbury Manor North
Gazebo Apartments
A Pillsbury Senior Community
Title:Pillsbury Manor
Date:10/09/2013
COLORS SHOWN ON THIS PROOF WILL BE DIFFERENT FROM THE FINISHED Proof Version:02
PRODUCT! WE CAN NOT BE HELD RESPONSIBLE FOR SIGN COLORS NOT
MATCHING PROOF. WE WILL PRINT EXACTLY WHAT IS HERE UNLESS YOU
�EDUEST A CHANGE.
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Before approving, examine the accuracy of information such as spelling, phone number,
colors, aty, etc. If no revisions are needed, please confirm. If revisions are needed, note such 29 Myers court - �so2� asa-a�si
on the email or call us at (802) 864-4791. We will email a revised layout for approval.
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