HomeMy WebLinkAboutPermit Permanent Sign SN-12-55 - WCAXPermit Number SN-
City of South Burlington, Vernon"j5_
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
Mt. Mansfield Television, Inc., 30 Joy Drive, So. Burlington, VT 05403
Dh: 802-652-6300 fax: 802-652-6319
2) APPLICANT (Name, mailing address, phone and fax #) Sooabove#1
3) SIGN LOCATION (include business name, address, & phone #): 0940-0030
4) TAX PARCEL ID # (can be obtained at Assessor's Office) Ll01 q Cl -i5�'0 o
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
Jape (,racer, 1054 Moran Loop Morrisville, VT 05661
ph: 80 —59 —1 67 fax: n/a
7) DATE OF ERECTION upon issuance of permit
8) SIGN DATA
WALL SIGNS (list size in sq. H., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft.):
17 square feet
2.
OVERALL HEIGHT:
82 inches
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
n/a
NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REV1E APPROVAL (if applicable):
10) Applicant Signature: � �� %1/S� . Date:
11) Signature of Land/Building Owner: rs Date: ?
Do not write below this line
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Fee: 5S_ation: "ec d prow
Code Officer Signatur . Date: gO
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