HomeMy WebLinkAboutPermit Permanent Sign SN-12-11 - GOVENOR'S INSTITUTEPermit Number SN A
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City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include bushiness name, address, & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax ft
7) DATE OF ERECTION ,N 6Q _�_c It
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZ (in sq. ft.):14o SF.
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OVERALL HEIGHT:
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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- -�• r ut au., Piupvsea sign must be Submitted illustra _' g the color'of the sign and
noting the dimensions of each sign.S lw'` \ctce S cte
9) DATE OF DESIGN REVIEW APPROVAL cif applicable):
10) Applicant Signature: _ ��2-2, /� Date:
11) Signature of Land/Building Owner:b Date:
........•............•....................•.......•....•......•.••.•.......•..
Do not write below this line
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Fee: Application: Rejected
Code Officer Signature: Date:411�zx
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CUUM Productions inc.
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