HomeMy WebLinkAboutPermit Permanent Sign SN-11-44 - MOTO VERMONTPermit Number SN--d--
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
2) APPLICANT (Name, malting address, phone and fax #) ��77 _-zW
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name
7) DATE OF ERECTION jg� /O
8) SIGN DATA
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WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
SIZE in sq. ft.
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ERALL HEIGHT:
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SIG ABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
GD 7—
NOT P- A ¢rat _
u. Ca,,il p0pubud 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): IV114-
10) Applicant Signature: Date: 7%1-01— Lo//
11) Signature of Land/Building Owner: Date:
Do not write below this line
Fee: (/ J
Application: Rejected
Code Officer Signature: &,5--
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Date:
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