HomeMy WebLinkAboutPermit Permanent Sign SN-11-68 - SD ASSOCIATES'E
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Permit Number SN-
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City of South Burlington, Vermon-t
Application for Permanent Sign Permit
1) WNER OF RECORD (Name as shop on deed, mailing address, phone and fax #)
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2 APPLICANT (Name, mailing address, phone and fax #)
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3) SlV L CATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) 13 i D — b 4 6 4.1
5) SIGN ERECTOR (Name, mailin address, phone! and fax
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7) DATE OF ERECTION
8) SIGN DATA
1 WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
l such as pmel or cut-out letter
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SIZE (in sq. ft.):
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2. OVERALL HT:
SIGNABLE WALL AREA (in sq. ft.): TYPE O Lt JMINATION:
NOTE: A scaled rendering of each proposed sign Lmust be submitted illustrating the color of the sign and
noting the dimensions of each sign. S i T,4 cs, �J o-t.k ?4,
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9) DAW OF DESIGN REVIEW APPROVAL (if applicable):
10) Applicant Signature: �t�. d'l Date: _ IL sy l 1
11) Signature of Land/Building Owner: Date: t
Do not write below this line
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Fee: App ' io Rejected Approv
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Code Officer Signature: Date:
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