HomeMy WebLinkAboutPermit Permanent Sign SN-10-86 - HACKETT VALINE & MACDONALDPermit Number SN--LO-- eK4
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) O ER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT ame, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)-ZCU -- IJGI� v
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION Z,—V T /— tf �/l
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---n. r-..t,.,, -- 6-- uluoL u� ,uunnuea uiustrating the color of the sign and
noting the dimensions of each sig
9) DATE OF DESIGN REVIEW VAL (if applicable):
10) Applicant Signature: Date: Al
11) Signature of Land/Building Owner: Date: i-/ /4 v
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Do not write below this line
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Fee: ication: j ted ro
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Code Officer Signature: Date: 1 IDLI�
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CATION M A P_ SPACE: , -_
PARKING LOT
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�- PROPOSED LOCA77ON
1 EXISTING SIGN
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N o. 1
12"x96" I
Hackett Valine & MacDonald
INSURANCENvmw & RISK MANAGEM ENT
I_\ ARTEX RISK SOLUTIONS, INC.
f 466 Shunpike Rd., Williston, VT 05495
T 802/879/7969 • F 802/735/1014
info@sbsigns.net / s6signs.net