HomeMy WebLinkAboutPermit Permanent Sign SN-12-50 - HONEST YOGAPermit Number SN-Zo
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD(Nameas shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, Wgil ing address phonepnd fax #) `YN ft � C} "� �- 1 ,
3) SIIGN LO�ATJON (include
v 7 a 5yd3
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN
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7) DATE OF ERECTION
t8SI GN DATA
LL SIGNS (list size in sq. ft., illumination, &type
as panel or cut-out letter)
I ID
2.
SIGNABJ .F WALL
(in sq. ft.):
FREE-STANDING SIGN
SIZE (in sa. ft.):
OVERALL EJ THT:
TYPE OF ILLUMINATION:
NOTE: A scaled rendering of each pro sed sign must be submitted illustrating the color of the sign
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature:, Date: G
11) Signature ofLand/Building owner:
i A-- Date:
Do not write below this line
Fee: p i ion: ct roved
Code Officer Signature: Date:
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