HomeMy WebLinkAboutPermit Permanent Sign SN-12-22 - CLASSIC OUTFITTERSPAGE 0 1
04/30/2012 14:18 8027641632
Permit Number SN/ 1%!1'_) � )_...
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City of South Burlington, Vermont
Appiieatiatn for Permanent Sign Permit
1.) OWNER OF RECORD (Name as shown on deed, ailing ad s, phote and fax #
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2) APPLICANT (Name, maN�b
address Phone and fax #) e L4S5ic
l ui� L..s�ry , S� T f 4U24-rrl)G%/ A) r o�.o 3
1`rc'T MA,
SION LOCA'tTON, (iticlude hosittess,name, address & pl ont #); 8L Mr1� G
.j 0 IZ5� 7" , D �r H IC31.)ALirVt"ry t/1'.. .ate 75"
4) 'TAX PARCEL ID ## (can be obtained at Assessor's Office)... 25 7 6 ' 00 l _S-0
5) SIGN ERECTOR (blame, mailing address, horte and fax #) �:L,f} �S 1'i� li1�126
£ l GJ�GusrY�N _ PA, ).. Sc�CJ_1 B�i��r�J�rkl � , SCA� 7���{la��/�)
7) DATE OF ERECTION 7_6D
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIQN
sucH as. panel or cut -taut letter) „_.
GCr�iP�9,1, �/ jyq l4: la' SFp T,;
1. /(,0 50 t=r LI=J] CU 1,0 OT
SIZE (in sq. ft,):
AMPax
2•
OVERALL HEIGHT:
STGNAELE WALL AREA (in sq, ft.):
TYPE OF ILLUMINATION.
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/0.
NOTE: A soled rendering of eadRptoppssed sign.rhugt bd submit(ed illfigrgting the color cif -No tigsti xnd
noti�q the dimensions of such. si�a. � h"T'TA�,tl �.��
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: A. Date: 114-7 112.
11) Signature of Land/Building Owner. Z14L= Date:12,01,�
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Do not write below this line
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Fee: A ticatioti: Re'eeted 6;;�
Cede Officer Signature: �- Date: ✓ /
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