Loading...
HomeMy WebLinkAboutPermit Permanent Sign SN-12-64 - CREMATION SERVICESJ Permit Number SN- u `- l City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) oa-(o(7_�S- 1> G00 p . x Sc) oo a- 2) APPLICANT (Name, mailing address, phone and fax #) S4,,•, 6;,9C, j gy eat,,-, 54., , 5heAvo.c Vr 9S'yy2 3) SIGN LOCATION include business name address & phone # : h,n C_ 7Y I1e,,Wawl4., Q,- 3'+..4c 7, SJvi', .91 . , er 05-io�3 4) TAX PARCEL ID # (can be obtained at Assessor's Office) /lSr- n o ti.7 2 5) SIGN ERECTOR (Name, mailing address, phone and fax #): Sieve 6, -Jc � y y_ G� �yekro,� Sf yk&lb-^►u V7, osq9Z qjr-9YrL �. 7) DATE OF ERECTION " (s b 81 SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter 0 SIZE (in sq. ft.): 2. OVERALL HEIGHT: R. -S, SIGNABLE NYALL AREA (in sq. ft.): 'Ca TYPE OF ILLUMINATION: dfv . NU t I : A stated rendenng 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 APPROVAL (if applicable): - -� 10) Applicant Signature: _ Date: & 7q1 .12 �—� 11) Signature of Land/Building Ownt°r: �� Cr�f'D✓ ate: © tJl ed Do not write below this line Fee: pli ation: eje ted CW—ov:e:d Code Officer Signature: Date: 9DIMIS NOIJ.VWI-H-,) N 0 S -?9 KH 093 li 9 -,-) NI H d -1 is 3DWEIS NOIIVW38D NOS'?9 A1109311 9 NI Hd3ls