HomeMy WebLinkAboutPermit Permanent Sign SN-11-37 - VERMONT DMV3-t Permit 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 #)
2) APPLICANT (Name, mailing address, phone and fax #) 1 v�ll�iti,Vho�
30 3 �J�`IL`�t.,� ✓L� C.ft� , yr 0�-401
3) SIGN LOCATION (include business name, address, & phone #):
4) TAX PARCEL ID # (can be obtained at Assessor's Office
5) SIGN ERECTOR (Name, mailing address, phone and fax #): '3f ci y'1 /A rift MA�
7) DATE OF ERECTION
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & the FEE -STANDING SIGN
such as panel or cut-out letter
1.. o / /w l Q C fl e�#)
SIZE (in sq. ft.):
(!�If
2. I OVERALL MIGHT:
SIGNABLE WAI,�(in sq. ft.): I TYPE OF ILLUMINATION:
_ //O
NOTE: A scaled rendering of each proposed sign must be submitted
noting the dimensions of each sign.
9) DATE OF DESIGN
10) Applicant Signature:
11) Signature of Land/Building Owner:
AL (if applicable):
the color of the sign and
Date: oZ I
Date: ) 2 l
Do not write below this line
•.......A.1.1...i.............................••..................Ooo000.....•
L�
Fee: / .l A cation: Re' cted
Code Officer Signature: � Date:
.0.VERMONT
DEPARTMENT OF MOTOR VEHICLES
3' x 16' x Replacement Lexan face for existing light box
Off-white opaque background w-:lth Green and Blue text/graphics