HomeMy WebLinkAboutPermit Permanent Sign SN-12-23 - SHELLCIO
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Permit Number SN--1 _ _- __
City of South Burlington, Vermont
Application for Permanent Sign Permit
l) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLI, NT (Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phon
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):i•�C✓L CseC'u.
7) DATE OF ERECTION _I/1cy--
6) �,IU l UAIA E:ll� --.5l(-,7 c' /-'YIAsv�c:
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter) t,C` j -- _ x-,C,
SIZE (in sq. ft.):
2' OVERALL HEIGHT:
SIGNABLE WALLPR-EA (in sq. ft.): TYPE OF ILLUMINATION:
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- - -- o �• k'--P " J1611 MUbL ue JUoml[ieQ mustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIE. APPROVAL (if applicable):
10) Applicant Signature: . C%, Date: &A
1 1) Signature of Land/Building Owner: Date: 7 Zit Z
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Do not write below this line
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Fee: li tion: R jected pprove
Code Officer Signature: Date:
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