HomeMy WebLinkAboutPermit Permanent Sign SN-13-03 - THE BAGEL PLACE'F)EFFA-, 'tiTi'v1ET\TT OF Pl-,.,�OTTI�JG tix 71014MIG
575 DOPSET STREET
SOUTH BU LLNGTOI-T, VEiMONT 05408
(802) 846-4106
FA2b (802) 846-4101
Permit Number S1*1`- -
Application for Permanent Sign Permit
OF RECORD (Name as show-n on deed, mailing address, phone and fax #)
-v vTT--r- I v\. v 1-0 AA -� �� LC. Z. ( 5 1�
2) APPLTCA i�Ti' (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone #): Hf cc of ��ceL
//tfa w, �����. T
4) TAX PARCEL ID # (can be obtained at Assessor's Office) / 5!G —O / /
5) SIGN ERECTOR (1',Tame, mailing address, phone and fax #):
1c��-Q - 12a.� �c, 5 a 7 �"j, t I.---
`
b) DATE OF ERECTION
7) SIGN DATA
WALL SIGNS (list size in sq. f3., illumination, & type
FREE-STA1b TIDING SIGN
such as panel or cut-out letter)
I. z- — S T,-!' I a a
SIZE (in sq. ft. ): �! 3�
r (o u-c-��c Lin'
2•
OVERALL HEIGHT:
SIGNABLE WALL AREA tin sq. ft.):
�yD� �x 3v'
TYPE OF ILLUMINATION:
NOTE: a scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
8) DATE OF DESIGN REVIEW APPROVAL (if applicable):
9) Applicant Si nature: � Date:
10) Signature of Land/Building Owner: ate:
aaeeeoaeoveaeeoeaeoeae®o®emooe�ooe000eeeoae®ooe eoeaooe /Tavrol
1Do not write below this line
Fee: A on: jepted ed
Code Officer Siginature.: Date:
D
THE
BAGEL PLACE