HomeMy WebLinkAboutPermit Permanent Sign SN-12-46 - SPIRIT HALLOWEEN\\4
Permit Number SN-�-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2)�`APPLICANT (Name, mailing address, phone and fax #
p
- y5S6 eHbPR- (gad ) �;,- 13 - I F98,
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): SeA
7) DATE OF ERECTION AS }moo
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
i
NOTR• A o �i A A _-_ _r
- • scu=... renueling ui 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:_ j dVe e- - il�z�'� Date: 07-- —' v
11) Signature of Land/Building owner:449,z*� Date: 'Z,
•.•.•...•.•.•.•.••••.•••.........•.....••.••.•......•..........•..••....••...•
Do not write below this line
Fee: Application: Re-ected pro
Code Officer Signature: Date:
3 ��