HomeMy WebLinkAboutPermit Permanent Sign SN-11-71 - GULFPermit 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 #)
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2 APPLICANT SO. BURLINGTON, VT 05403
(Name, mailing address, phone and fax #)
3) SIGN LOCATION (include business name, address, & phone #): /Q �/ /� vr,.w, /e L
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): e , aq re,._
CONTRACTING, LTD
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7) DATE OF ERECTION_ C'_ „`-t 1( 80. BURLINGTON, VT 05403
8) SIGN DATA 1 1 a ve C f 1C_ �_ & 11\ S" 4- '. r ,1 G'. R
WALL SIGNS (list size in sq. ft., illumination, &type
such as panel or cut-out letter)��,�
FREE-STANDING SIGN
SIZE (in sq. ft.): .•� � �,
2. a j S7,
OVERALL HEIGHT:
SIGNABLE WALLA A (in sq. ft.):
TYPE OF ILLUMINATION:
NOTE: e
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9) DATE OF DESIGN REVIEW APPROVAL (if applicable):
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10) Applicant Signature \ Date:
11) Signature of Land/Building Owner: Date:
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Do not write below this tine
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Fee:A lication: j ted f pro d
Code Officer Signature: Date: ( / Y / 1
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=' 'PROPOSED 24'x50CANOPY
EXISTING
Y CONCRETE PAD
/Q UST LOCATION ?
0
4'x6' PUMP ISLAND Ln
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EXISTING NORTH
CATCH BASIN
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/REMOVE EXISTING CURB
PROPOSED WATER
SERVICE LINE TO CONNECT
TO EXISTING _____._._-___
EXISTING J" COPPER
WATER SERVICE
O.H.U,-------O.H.U.
-WATER SHUTOFF
EXISTING 5ft. CONC. SIDEWALK
O.H.U.
EXISTING SEWER MAIN
Q.H.U. —
O.H.U.
OVERHEAD UTILITY LINE
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XISTING SIGN
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G.M
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O.H.U. -
TO BURLINGTON--
GRAPHIC SCALE
10 0 5 10 20
( IN FEET )
1 inch = 10 ft.
EXISTING OVERHEAD UTILITY LINE
EXISTING SEWER SERVICE LINE
PROPOSED CURB
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