HomeMy WebLinkAboutPermit Permanent Sign SN-10-81 - STARBUCKSOct 13 2010 11:30AM HP LRSERJET FAX
l-OCT--13-2010 22:01 From:
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802-985-2250
To:9852250
Permit Nu ber SN-�- U
City of South vxXington, ezmont
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Application fo Permanent Si Permit
, - 1) 0 ER OF RECORD (Name s sb wn on eed, mai " address phoaae and fax #)
2) API LICAANT (Name, i ailing ad,dress, phone and fax #) `
3) SIG'. LOCATION (inn ude business
name, address one #):
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4) T PARCEL,ID # (c be obtainec I at Assess er'S Offlee)
S) S G� ERECTOR (1VBree, ma0ing a dress, pheln d f #1): wit jp Sc M
7) DA. E OF tREC I70i
8 SIGN DATA
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AL SIGNS (list size in s'y tt., illUnljnati n, & type FREE TANDIN SI
SUC4 as Mwl or cut-o k(tcr
2. 01TEP6 &L HEI .w; ,
SIGN LE WALLZIA� (tn sq. ft.): TYPYVP TLLUMTKATION:
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NOTI?: A sealed rendengg of eaah,propoeed s tt must be submined ( ustcating the color of the sign an
:2�,y doting The dimensions of each igm.
9 DATE OF D
I 13SIGN RW EW APP OVAL (if apppyca le):
10) Appluant Signature: bate;
11) Si patura ofLand/B 1 Own ate: �—
Do No write below this tine
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Fee: lica oa: ctod pProvad�
Code i fficer Signature: Date:
page 2
Paee:2/3
LPF-20155. 1150 Williston Road, South Burlington. VT 2010/11/04
BEFORE
Date:
Customer Approval:
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ENSEIGNES
PA7T1S0N
SIGN GROUP
Tv (50M) 735-5506 fax (877) 737-1734 -Tall Free 1-800-561-9798