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HomeMy WebLinkAboutPermit Permanent Sign SN-12-70 - MERCHANTS BANKr E Permit Number SN-A-- City of South Burlington, Vermont Application for Permanent Sign Permit C 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) Antonio S. Pomerieau, LLC 69 College Street, P.O. Box 6, Burlington VT 05402 2) APPLICANT (Name, mailing address, phone and fax #) �—er i s fY u r i 3) SIGN LOCATION (include business name, address, & phone }X 1309 Williston Rd. South Burlington, VT 05403 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1s1o"o13os rr 5) SIGN ERECTOR (Name, mailing address, phone and fax #): _A.+►w�e� 7) DATE OF ERECTION, 11�81 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type F�AEE-ST D1 q SIGN such as panel or cut-out letter) Nedou et i. ei S4 L�Ii X- 1. (in sq. 2. ( OVERALL HEIGHT: I a noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW --IAPPROVAL (if applicable): - 10) Applicant Signature: f Date: t 1i26f2012 11) Signature of Land/Building Owner. Date: 0000 00*0 0 So00040000900*090600000*too•90000000*$*too 00000•f*** too 0000000000 too Do not write below this line Fee: Application: ZReje Agrove /\J l` Code Officer Signature: Date: z7 7— 100"w x 52"h One sided temporary sign to be mounted into existing lightbox frame. $450.00 Includes installation. S AMMEL S>I•G$N junction . Vermom 014, 111(802) 879-3360 1: _. ` I` -I)If S I approve this artwork as submitted. I understand that any changes or corrections after this approval is signed may result in additional charges and I agree to those if necessary. I further understand that the design is the property of Sammel Sign Company and may not be reproduced without written permission. Copyright ©2012 Sammel Sign Company Approval Signature Date All Rights Reserved