HomeMy WebLinkAboutPermit Permanent Sign SN-13-04 - GET HEALTHY VERMONTBack to Wellness
802 864 4959 p,2
Permit Number SN-�- � v
City of South Burlington, Vermont
Application for Permanent Sign Permit
address, phone and fax 4)
). �i(
WC
')APPLICANT (Name, mailing address, phone and fax. #)_,__ Of,.- WM-706E-e-
%M
3) SIGN LOCATIO'N' (ilude business name, address,& phone #): V504-AMOT
CVV,. 4�Q'U-,j
4) TAX PARCEL ED # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, nuiLing address, phone and fax
1 7 � A- - - -- - - - -
Lo
7) DATE OF ERECTION J'a I DO \3'.
8) SIGN DATA
WALL SIGNS (list side &type FREE-STANDING SIGN
such as panel or cut-out letter)
(in sq. ft.):
2.
OVERALL HEIGHT:
S�iGXLF WALL —AREA (in —sq. -ft.): TYPE OF ILLUMNATTON.'
NOTE: A scaled watering of ew�h�prqypmedi mug he sijbaijued illustrating the color of Ow siga and
�f
noting the dimensions of each sip.
EVIEW R0,
9) DATE OF DESIGN R ROVA.L,(jf applicable):
10) Applicant Signature:
11) Signature of
Date:
Date:
Do not write Wow this him
Fee: LAC— on: e
Prov
Code Officer Signature: Date:
S-Y103
GET HEALTHY VEPMONT
DR. AUBRY TAGER