Loading...
HomeMy WebLinkAboutPermit Permanent Sign SN-11-05 - LPA DESIGNPermit Number SN-�- d City of South Burlington, Vermont Application for Permanent Sign Permit 1) OWNER OF RECORD (Name as shown On deed, mailing address, phone and fax #) Inwe fv- -s a,-a.sHo Vertu - 3o M al., _5F. aJ-c -10 !, 9ttir11vt_ato n V`r- r554td P• 502-.M.4-215it 11r. go-1L43•2_3i3 2) APPLICANT (Name, mailing address, phone and fax #) Set.m e 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 #): DeSc*cA, sty P. t).6ax S570, FsseL,Jgt. v-T 059si P' /F: $e2_•5Z7�L•gg10 7) DATE OF ERECTION 8) SIGN DATA WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN such as panel or cut-out letter 1. SIZ (in sq. ft.): (, f,?7� 2. OVE L HEIG T:// SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLo TION: 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 (if applicable): 10) Applicant Signature: &U, Pk, • Date: I • I 11) Signature of Land/Building Owner: (�&, Date: I • l 9'- I I essee9ess0000000s000g00000000*0000000000000*0000.............................. Do not write below this line 000000000000000000000000*00000000000000000000000000000*0000000000009000000000* Fee: p lie tion: R ected ci�ry Code Officer Signature: Date: M/ 48 in Designs are copywrite © 2011 by Design Signs, Inc. and may not be used without permission. LPA DESIGN, 21 Gregory Drive, South Burlington o A P o A ^ r p 5.33 sq. ft. Street sign panel option 7; with black reflective graphics 802-872-9906 Complete sign panel is 46" by 100" © 2011 designsignsvt.com January 1 1, 2011