HomeMy WebLinkAboutPermit Permanent Sign SN-10-82 - NEW ENGLAND AUTOMOTIVE0
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Permit Number SN-
City of South Burli 3gtoil, Vermo
Application for Perm ejat Sign Permit
l}OWNER OF RECORD (Name as shown an deed, m$ilin addr one and faac AIN
Z'
2) APPLICANT (Name mailing address, phone and fax
un
Rgx
2-'100
3) SIgN;OqATION (JAclude business name, address, & phone #): ELL
4) TAX PARCEL ID # (can be obtained at Assessor's Office) l I
5) SIGN ERECTOR (Name, mailing address, phone and fax
') D,A TE 01r ERECTION
81 SIGN DATA
WALL SIGNS (list siu iu sq. it., mu3 ination, & type
Such as pawl or cut out letter
FREE-SxANDfiIG�rK
J
1• i `' , lip
awa
SIZE (in sq. fL):
2. X t `c.}
OVERALL B EIG
SIGNABLE A7 T,;A2 7 q, t%):
TYPE OF iEL
TION:
I vA D: ra SCUM ronaerAng of each ptoposea U93 roust oe sutut>:ttea iuuar:atLvg W ar of the sign ana
noting the dimcnsions of eacb sign.
9) DATE OF DESIGN RIM EW APPROVAL (if appticable):
10) Applicant Si7:autd/Building
-� Q I R to
11) Sipature of O►Wne . ' (� i de: li Gt t o
goose****r**rrrrr��r♦r******a******r*r�rr*rol •q*o***********
Do not write below this be
•*r***err*�*******Rr**1r*r***rr������r****N***ir*r*r��*�*�ri �***********rr•
Fee: V A cation: R " ted oved
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Code Officer Signature: Dat
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