HomeMy WebLinkAboutPermit Permanent Sign SN-11-70 - OP4 FITNESSPermit Number SN-�-
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWN t OF RECORD (Name as shown on deed mailing address, phone and fax #)
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2) PLICANT (Name, mailing address, phone and fax #) /�% � � -A
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�JQIN LOCATION (include business name, address, & phone #): �� Ll f _T-7 . E�
4) TAX PARCEL ID obtained at Assessor's 0
( s Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): r
7) DATE OF ERECTION A-s,
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
1
S E
� . a( m q. ft.): S
2.
OVERALL HEIG VT: 11
'1-UP � 60
SIGNABLE WALL AREA (in sq. ft.):
TYPE OLUwIJINATION:
PJ
- --- --------•o �• ���_= y—vwa— air.,, uiva- uc z uuiiiiLLeu illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL(if
applicable):
10) Applicant Signature: r,~� ate: / Z/7 ,
11) Signature of Land/Building Owner: Date:
Do not write below this tine
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Fee: A on: ect pprovec�
Code Officer Signature: Date: �� (�
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(110 L U B 233-9240
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