HomeMy WebLinkAboutPermit Permanent Sign SN-11-14 - UP STREET HAIRPermit 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 #)
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3) SIGN LOCATION (include business name, address, & phone ft rlDZ—ip("o0Y8
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) l) qi' C)_ O OUQ_9
5) SIGN ERECTOR (Name, mailing address, phone and fax #): 2rbZ--d 62- 6724E:?
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7) DATE OF ERECTION -/ %/ % 4D / 1
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
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SIZE (in sq. ft.):
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2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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
APPROVAL (if applicable):
10) Applicant Signature: 1,&a�,- Date:. 11
11) Signature of Land/Building Owner: Date: c� /
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Do not write below this tine
Fee: J lication: R 'ected rov
Code Officer Signature: Date:
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