HomeMy WebLinkAboutPermit Permanent Sign SN-11-57 - ARTEMIS FITNESSPermit 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 #}
70-Y'YI,PS awrc)II 9 ba? - a 33- 030:�
/o Gre.a.rve I-Eab►rxt _SkzIbu..("e fed 6urioAh n, Vi
2) APPLICANT (Name, mailing address, phone and fax #) 4 (- /Om,5 F/J /U SS 'S 0 2 - T?
C0-k 42a(-LaCh14/1 e' 6_6we-r- -
� .F�,� 1 � v N-v 17 ✓' /% n . !- � S n R � � rl , i� a >1-x✓i T O t-�o ?
3) SIGN LOCATION (include business name, address,
&phone
T
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4) TAX PARCEL iD # (can be obtained at Assessor's Oftiae)-6f-V : s ('
5) SIGN ERF,CTOR (Name mailing address phone d fax#}: ✓ ns
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I qO �i,vt �yfrl,�t i2 �i S � i ,�✓1y�nc1U� _l VT a ?
7) DATE OF ERECTION_ s /
8) SIGN DATA _
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter)
SIZE (in sq. ft.):
2. OVERALL HEIGHT:
cI-GNABLE W�L ? R EA (in sq. ft.): TYPE OF ILLUMINATION:
1V V 1 ts: scaled reA8�1 of ear,. 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: - -ADate:
11) Signature of Land/Building O Date: /D.-/ ZD/�
Do not write below this line
Fee: Appl' ation: Re' ` rove
1=lode, Officer Signature: Data:
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ARTEMIS
F I
T N E S S
ARTEMIS s FITNESS
Y
PMS PMS498 PM51S9
PMS 719 PMS 302
0
PMS 469S
A R T E M I S FITNESS