HomeMy WebLinkAboutPermit Permanent Sign SN-12-59 - KIDS CITY0 . . ""�\4
ITPermit Number SN-A-
City of South Burlington, Vermont
Application for Pemianent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing dress, phone and fay #)
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2 APPUCANI'(.1 ame, mailingaddress, phone and fax #��� � r Mo
3) SIGN LOCATIO elude business narxte, address, & phone #): S
4) TAX PARCEL W # (can be obtained at Assessor's Of ice)
SIGN F..,RFCTOR (Name, mailing address, phone and fax
7) DATE OF ERECTION,
$ SIGN DATA _._......._ _w
WALL SIGNS (list size in sq. e., ilhmmination, &type FREE -STAGING SIGN
such as t)aael or cut -Lou!
SIDE insq. fi:):
1 a 56 ut�,
OVERALL HEIGHT:
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rSIGNABLE FALL-A(i.n sq. ft.): TYPE OF ILLUMINATION:
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NOTE: Ascaled rendering of each proP0sed sigh must be submitted illustrating the color of the siga and
Dating the dimensions of each sign.
9) DATE OF DESiGIs RE"v W ^' r 1• apprics"ble)'
10) Applicant Sigmatar
Date:
11) Signature of Land/,Building Owner:
%_ bate:'
!at!!�l•alirl�saalassi♦a!!�►asssa!!!!as!!lnasalas!laas!!as!♦la�rssls•!slass!!s�
Do not write below this line
!a{�la�aft�lit�iaa�lrl��a{r'�a!!i!a!!ia!!a!`liMai��ialfaaarlaMtaaal�ala�Maaara
F c: A.pp 'cation: Rejected"
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Code Officer Signature: _ `L/ Date:
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Kids City
180 Flynn Ave. Ste. 5, Burlington,Vt.05401-5482 802-862-1060 hglaeserco@aol.com
9/20/12