HomeMy WebLinkAboutPermit Permanent Sign SN-11-35 - T S PECK�Permit Number SN--j.�-._.
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Ngme as shown on deed,
2) APPLICANT (Name, mailing address, phone and fax
►e and fax #)
3) SIGN LOCATION (include business name, address, & phone #):
, Z — ,GG r, 00-
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
S) SIGN ERECTOR (Name, mauling jµ7dze(ss, phone and fax #); l 1( ftr^J �/ 1/�ii�
T J t
7) DATE OF ERECTION 0
R\ QT(:N nATA
99
l
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1. ft . t ., jd. �j
SIZE (in sq. ft.):
2, ^ ,� tcQ �ti It/
OVERALL MIGHT:
SIGNABLE WALL sq. ft.):
TYPE OF ILLUMTiVATION:
• � I
NOTE: A scaled rendering of eao -proposed sign must be suotntttea illustrating the color or the sign anu
noting the dimensions of each si
9) DATE OF DESIGN R VIE ROVAL (if applicable):
iC) Applicant Signature: _ Date: Zf f
11) Signature of Land/Buil g Own '� ���'� �. � w I3ak-
/!/!!/1!!/!/1!!•ii!l/ill/!i1!!1/!!1!!!!!!i!/!l//1!!lliii!!!!i1l111!!!!!1!!!!1!
Do not write below thts Fine
i/1!!/1!!!!1li1�!!!!Ii!!!!!!1!!i!l///!!!!!i!•!!1!li11!llii!!ilii!!!Iil1l1l1!
Fee: A cation: Rej ed ppro
7)7�za
Code Officer Signature: ,_. Date:
40,.��`TS