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HomeMy WebLinkAboutPermit Permanent Sign SN-11-56 - JULIE SPANIEL DDS10 K Permit Number SN- -� City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown on deed, mailin address, phone and fax #) 0-Lo ✓ *0_ ni 6 — Con , rQY1dQc Ti t 1AS vT C o2 $ u-- I 2) APPLICANT (Name, mailing address, phone and fax #) ct o me i Sian COM!RML4 6r Be n+leu A. Meer r i cis 3) SIGN LOCATION (include,�businness name, dress, & phone #): Vb5 D Pia n i*0 k rl . . Yll j 4-k i IY 1 Pl/n i 711f1 yr rx., t ) 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 6!g�Q — Q 1(7SV SIGN ERECT / OR (Name, mailing address, phone and fax IV1nv\,nDi In" r nW1nA1ni I — aC:Z r1- 7) DATE OF ERECTION to 2b( i 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.): - t6A 51 na Q e : 31 2. O R A HEIGHT: 1 SIGNABLE WALL AREA (in sq. ft.): TYPE OrrF ILLUMINATIO 2xlStir ptt)Y1 W-% h�i ry v i r.: A scalea renaenng or each proposed sign must be submitted illustrating the color of the sign acid noting the dimensions of each sign. 9) DATE OF DESIGN REVIEW APPROVAL (if applicable): y, 10) Applicant Signature:2i_��� mate: % , yC , 11) Signature of Land/Building Own . _ Date: •............................•.•............................................ Do not write below this line •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Fee:-----���-�- Application: Rejected p r 1 Code Officer Signature: Date: /d/* 5�3r • 72"w x 6"h double sided sign, painted green with gold lettering and trim • existing downward lighting fixture. S NA&M'E4t S I G N �... t 95 )in Road • t ��x Jtt icttcatt • Vermont 05452 T(802) 979-336) CopyrightCc32011 Sammel Sign Company All Rights Reserved I approve this artwork as submitted. I understand that any changes or corrections after this approval is signed may result in additional charges and I agree to those if necessary. I further understand that the design is the property of Sammel Sign Company and may not be reproduced without written permission. Approval Signature Date