HomeMy WebLinkAboutPermit Permanent Sign SN-13-10 - PINE COMPUTERSPermit Number SN- �- 16)
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deq, mailing ddress,rph ne and fax #)
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2) APPLICANT
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office) (p (} 01 1 �22 (;
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
1
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUM ATION:
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NOTE: A scaled 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 APPROVA pplicable):
10) Applicant Signature:Date:
11) Signature of Land/Building Owner:Date: '
Do not write below this line
Fee: Appl' ation: Rejected eppr:
Code Officer Signature: / Date: /
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2.91 in
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