HomeMy WebLinkAboutPermit Permanent Sign SN-10-83 - AL'S FRENCH FRIESFA
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Permit Number SN- 16 - 8 7
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) O OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICAN _game, mailin�ddress, phone and fax
3) SIGN LOCATION include business_ namep, addres l hone
.
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION /G 111U v
8 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type FREE-STANDING SIGN
/ such as panel or cut-out letter
1 SIZE (in sq. ft.):
2. OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.): j 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 APPR?,�,t_LAe
licable):
10) Applicant Signature: " Date:
11) Signature of Land/Building Owner: Date:
..............................................................................
Do not write below this line
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Code Officer Signature: MJ �G�/ `" it l/ G
Date:
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TOWN OF HARTFORD
NOTICE OF INTENT TO BUILD AN
AGRICULTURAL BUILDING
Name:
Daytime Phone:
Location of property:
Type of structure:
Size of structure:
Setbacks met? Yes / No
Map/Lot #
Evening Phone:
If "No", a waiver from the VT Dept of Agriculture is required and must be attached.
Description of how proposed structure meets state definition of farm structure.
(See below)
Please attach a sketch indicating existing & proposed structures and distance to
property lines.
This property [ ] is [ ] is not in a Flood Plain area.
This property [ ] is [ ] is not near surface water.
Landowner's Signature Date
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Zoning District
Setbacks: Front:
Comments:
Administrative Use Only
Date Received
Side: Rear:
Reviewed by
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Farm Structure a structure or structures that are used by a person for agricultural production that meets one or
more of the following:
(A) Is used in connection with the sale of $1000 or more of agricultural products in a normal year; or
(B) Is used in connection with the raising, feeding, and management of at least the following number of adult
animals: four equines; five cattle or American bison; fifteen swine; fifteen goats; fifteen sheep; fifteen fallow deer;
fifteen red deer; fifty turkeys; fifty geese; one -hundred laying hens; two -hundred and fifty broilers, pheasant, Chukar
partridge, or Coturnix quail; three camelids; four ratites (ostriches, rheas, and emus); thirty rabbits; one hundred
ducks; or one -thousand pounds of cultured trout; or
(C) Is used by a farmer filing with the Internal Revenue Service a 1040 (F) income tax statement in at least one of
the past two years; or
(D) Is on a farm with a business and farm management plan approved by the Commissioner.