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Permit Permanent Sign SN-13-14 - AGAPE COMMUNITY CHURCH
Permit Number SN- Jl— City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 3645f4J ZeUELDp1R9,-1 - i ExecolrtoE 'DR, 0,,4t VT- 6! �(©3 g02- 23$-3c78Z 2) APPLICANT (Name, mailing address, phone and fax #) 3) SIGN LOCATION (include business name, address, & phone #): � C /�( OP4 , . 4) TAX PARCEL ID # (can be obtained at Assessor's Office) / 2-10 - prO©61— ERECTOR (Name, mailing address, phone and fax #): txi�iU6 � tg Aj ;inJ� ®n7E $"1C y- pi9 E., : /l)oND RaS J/9-7ei037 w -F- 7) DATE OF ERECTION 6J" AoQab 81 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type such as panel or cut-out letter) FREE-STANDING SIGN 3 -i F-1 2- 1. SIZE (in sq. ft.): 9', , , q 25 2. OVERALL HEIGHT: SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION: //U7-ifkAM L_ ry U i h: A scatea 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: 11) Signature of Land/Building Owner: Date&LVL�D: ate: ••...•.••.....•...••.•.•..•...............•••••.•.•..••.••..•...•.••...•...... Do not write below this line Fee: Ap lica 'on: cted Appr�� N Code Officer Signature: Date: Executive Drive . . ........ Nortb Gardep CHINESE RESTAURANT vmmmmmW-�,JVlwjK Am q AGAPE THE INTERNATIONAL CHILDREN'S SCHOOL