HomeMy WebLinkAboutPermit Permanent Sign SN-11-50 - STONINGTONPermit 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 #)
��On..�f�n C;r�l en�l0�•�.uw, �i556c�-�D✓�
2) APPLICANT (Name, mailing address, phone and fax#)QD
3) SIGN LOCATION (include business name, address, & phone #): v< n,`4
_C.f-clo condo 'o I," 04,4/Acv?
4) TAX PARCEL ID # (can be obtained at Assessor's Office) W14
5) SIGN ERECTOR (Na , mail!2g_address , phone a d fax #):
64 iQ a C-L� -q_ 3 ��•� •S �n
• u� l n.(%.7 ft- 4d3
7) DATE OF ERECTION M 4 O� �b u a o,1
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
S; dQ ' =
I .
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
�
SIGNABLE WALL AREA (in sq. ft.):
TY E OF ILLUMINATION:
NOTE• A 1 d d
� A
sca a re n enng of each 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: C G,�2.._ �- Date: l��yl-16i
11) Signature of Land/Building Owner: 60ate:
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Do not write below this line
Fee: App ication: Rejected X�r
Code Officer Signature: Date: /� / f
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