HomeMy WebLinkAboutPermit Permanent Sign SN-11-09 - SHEARER CHEVF
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Permit N ber SN- i �,..
it'y of 8 iith Burlhigt0n, Vermont I
Agpl`ieata A for Perm P ent Sign ermit i
1) O TER O� CORD ame 4s shoe deed inal SS g address, phone anc fax #)
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2) APP XCANT Ck larne, M iling ddzess, pba and fax #) ,��%�00 S
3) SICit LOCA.TI N 6aclude bus' ea name, ddres§, & phoae #): c
4) T PARCEL # (can be obTned at Ass sor's Of%ot) i
S) SIGT ERECTOR (Nam , mai frig address, phone and fax #): � � / "'i 5
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7) DA E OF ERE TiON - I U �--1 /
8 SIG I DATA
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WALL SIGNS (bstlsize in sq. ft., ill ation, & to FREE-S &6 SIGN
each as cl or cut-o t letter
1. SIZ$ (in ft.) r
2,
D SF
_ O'VERA L BEI f M 1
I
TNE
L'.E' W-i`%TYPE OP ILLUMINA'IO
scaled rende '
g of each pr*s d sign must b s tied illusttatltzg the coko of the sign and
noun th dim
th'tmn,ions f eacb sign, I
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r. l.l r 9) L7A OF DESr rI pW�'
10) AP i 'cant Slgu turn
. 1 l) S i ature of "uild' g Oiwh Date
•seeegeeree.erg. eeggN�eerr`ei eNrNr eeggNeersll.eerreeerre '..r. �....gres
Pot Write b w this Ilue
ge•srre reeggregs eesssra°rgss.er0 .goes* serreerseee e.egs•sreee +.T...r....
Fee: A ratio eofied
Agpro we
Code Of icer Sigrare: Date:
e :woad ZS=CO I1:0r?�60-e3�
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 #) L f1J 5rf le S) S
14 ,4�g1l.19K 17n. E- s;�vx 1C,I
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3) SIGN LOCATIO (include bus' ess name, address, & phone #):
3D S� -5kaAVej, CAg.
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #): / :io -VotTp 5t p2 T
7) DATE OF ERECTION r3 --- l fJ I l
81 SIGN DATA .1,P a .I CA e o 4tL AA J 'a'a s n N I ./
WALL SIGNS (list size in sq. fi., illumination, & type
FREE-STANNNGSIGN
such as panel or cut-out letter
1 •
SIZE (in sq. ft.):
g
(,
O J /-
2. S r
OVERALL HEIGHT: 1
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
ID
INi
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 RE APPROVAL ('f applica le):
10) Applicant Signature Date:
11) Signature of Land/Build' g Owner: _ Date:
..............................................................................
Do not write below this line
Pee:
Application: Rejected Approved
Code Officer Signature: Date:
6--19116,
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