HomeMy WebLinkAboutPermit Permanent Sign SN-13-11 - LEFTIES ONLY - A GOLF SHOPPermit Number SN--
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone ft F0 C'G� -0Y
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)%
5) SICI,N ERF,CTOR (Name. mailing address, phone and fax
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7) DATE OF ERECTION_
SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such -ut letter)
2.
FREE-STANDING SIGN ,F f
SIZE (in sq. ft.): 16
OVERALL HEIGHT: *7
SIGNABLE WALL AREA (in sq. ft.`- r TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each proposed sign must be
noting the dimensions of each sign.
the color of the sign and
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: =� .r Date: /Cew .T, bOL?
11) Signature of Land/Building Owner: �'�'� � "� Date: #"1jr?� 1,?
Do not write below this line
Fee: _ A 'ca. 'on: R ' cte pprov d
Code Officer Signature: Date:
Lefties
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1972 Williston Road
Sign panel 2'X8'
Double Sided
799
4"
359
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