HomeMy WebLinkAboutPermit Permanent Sign SN-13-28 - OH MY DOGPermit Number SN-
City of South Burlington, Vermont
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Application for Permanent Sign Permit
1) OWNER OF RE�ORDName as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (incl de business "ame, a dress, &phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Na e, iling address, I n a fax #
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7) DATE OF ERECTION MWA� QCkJ
8) SIGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
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SIZE (in sq. ft.): 1
2•
OVERALL HEIGHT: `
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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- _v.., iing of cad„ p,upuseu sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW AkPROVAL (if applicable):
10) Applicant Signature:
11) Signature of Land/Building Owner:
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..............................................................................
Do not write below this line
Fee: A li ation: e 1 (pprove
Code Officer Signature: Date: S /
Tuesday, May 21, 2013
8:13 AM
Unfiled Notes Page 1