HomeMy WebLinkAboutPermit Permanent Sign SN-13-51 - SHELL■ 09/20/2013
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Permit Number SN-�L-
City of South Burlington, Vermont
Application for Perimanent Sign Permit -" -
1) OWNE F RECO (Name as sho non deed, mailing address phow, and fax #
2) APPLICANT(Name, z1z'� address, phone and fax #) 3 1 �-9 S\1
3) SIGN LOCATION (include business name, dr , & hone # : �",��, S ►`v�`�
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECT�(Name zn 'ltq� 'rig address, phone and fax #): �
7) DATE OF ERECTION
8 SIGN DATA 5 o.S � S t; bx1\ S. ,
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDINO SIGN
such as panel or cut-out letter ,
1. ► s5� SIZE (in sq. ft.):
2. il[/aT1 A T T YY"%--
SIGNABLE WALL AREA. (in sq. ft.); TYPE OF ILLUMINATION:
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 EW APP14OVIAL (if applicable):
10) Applicant Signature: Date:
11 Si 1 .%
gnature of Land/Building Owner: Date: n?o / ,S
Do not write below this line
Fee;
Application; Rejected roved
Code Officer Signature: 1 Date:
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