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Permit Permanent Sign SN-13-46 - HAIRY BEAR
Permit Number SN- (�/ � - City of South Burlington, Vermont Application for Permanent Sign Permit 1) O ER OF RECORD (Name as shown on deed, masiil-ing ��r>✓o�- 2) APPLICANT (Name, mailing address, phone and fax #) t n, t „ 1 n-\'. k 1_ 7 1 �a i O'7 i.- and fax #) _I �/ ,'C _ lVi n `` 3) SIGN LOCATION (include business name, address, & phone #): —�W % \, tom �e c SO 4) TAX PARCEL ID # (can be obtained at Assessor's Office) ��?? 5) IGN ERECTOR (Name, mailing address, phone and fax #): r1m sk —St-M /1A0 r- Cj ix 6 _D is P 1M q'-S C. do c. f V' �o v r O5 t az 7) DATE OF ERECTION C 1 81 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter FREE-STANDING SIGN 1. -L S-4 & (\U✓1 ill u 'S, A 3 1 bt oifl,c SIZE (in sq. ft.): ,n 2. OVERALL HEIGHT: 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 REVIEW APPROVAL (if applicable): 10) Applicant Signature: a,/L L_ Date: ) Z // 11) Signature of Land/Building Owner: /' y6t' ,t Date: '1 ' •.••....•...•••••.•.••••.••.•..•.••.•.••..•••••••.•.•••••••••...•.•.••..••.••• Do not write below this line Fee: A 'c on: ected Appro Code Officer Signature: Date: C THE EXPRESS 1 - 35.5"'w x 31.75"h double sided non illuminated sign, Contour cut shape with digital print and premium vinyl lettering. Perpendicular sign to be mounted no higher than 10'above grade. S AMMEk S•I*G*N ri,s 04�/ff 9f pin Road • Essex Junction • Vermont 05452 T(802) 879-3360 F (802) 764-5905 Copyright© 2013 Sammel Sign Company All Rights Reserved I approve this artwork as submitted. I understand that any changes or corrections after this approval is signed may result in additional charges and I agree to those if necessary. I further understand that the design is the property of Sammel Sign Company and may not be reproduced without written permission. Approval Signature Date