HomeMy WebLinkAboutPermit Permanent Sign SN-11-27 - WALGREENSE
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 #)
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2) APPLICANT (Name, mailing address, phone and fax #)
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SIGN OCATION/ (include business name, address, & phone #): ! j y ��,•�,y�P// ���
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, pho e and fax #):
7) DATE OF ERECTION ,9S- - /J
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter)
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SIZE (in sq. ft.):
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2.
OVERALL HEIGHT:
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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--- -- --- -••••s .,...... F+ FY �. 01gu MUM — suumlaea inustrattng the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN
10) Applicant Signature:
11) Signature of Land/Building
AL (if applicable):
Date:
Date:
...........••.......•.•........•..•.......••••..•.....•........•••••......•.••
Do not write below this line
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Fee: Application: Rejected p r
Code Officer Signature: Date: /
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