HomeMy WebLinkAboutPermit Permanent Sign SN-11-39 - GOSS DODGEPermit Number SN- 11 _ "3 /
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
DBS LLP Po Box 2122, So. Burlington, VT 05407
Phone - - 447
2) APPLICANT (Name, mailing address, phone and fax #) GOSS DODGE INC.
Po Box 2122 , So.Burlington, VT 05407
Phone# 802-658-0120 Fax�� 802-864-0447
3) SIGN LOCATION (include business name, address, & phone #): GOSS DODGE INC.
1485 Shelburne Road, South Burlington, VT 05403 Phone# 802-658-0120
4) TAX PARCEL ID # (can be obtained at Assessor's Office) 1540-01485
5) SIGN ERECTOR (Name, mailin& address, phone and fax #): I think it will be
Twin State Signs, 14 Gauthier Drive Essex Jct, VT 52
Phone # 802-872-8949
7) DATE OF ERECTION 60 to 90 Days from now
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
such as panel or cut-out letter
I. 113 Sq• F t Individual Letters SIZE (in sq. ft.):
2. OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLUMINATION:
1720Sq. Ft.
NOTE: A scaled rendering 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: Date. 0 7 / 2 6 / 11
11) Signature of Land/Building Owner: Date: 07/26/11
Do not write below this line
Fee: A 'cation: Rejected ppro
Code Officer Signature:
Date:
.� � :� � � /� \ . \ \
ny-Iqmiw