HomeMy WebLinkAboutPermit Permanent Sign SN-13-37 - CURVESPermit Number SN-
City of South Burlington, Vermont
Application for Permanent Sign Permit
OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #) (_U,��,�5 , f C,tlti,�
3) SIGN LOCATION (include business name, address, & phone ft Cu \-Qk'!a
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, ., 2S ;z - 7-2997-
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1290-00065
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION t� esr��a� \� ��{ (�� " Q 1 raj
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as anel or cut-out letter
1 Ll ► ,t y3 fi� i �mii�a4et ;,
SIZE (in sq. ft.):
2. '' "
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
C. 2Z
.., .,.�s U. C;a%,11 pivposcu 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: D Date:
11) Signature of Land/Building Owner: n_ Date: 7/6/2013
Do not write below this line
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Fee: (/ A plication: Rejected dpro;�_
Code Officer Signature: Date: /�
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