HomeMy WebLinkAboutPermit Permanent Sign SN-10-80 - HACKETT, VALINE & MACDONALDPermit Number SN--J�-�
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) OWNER OF RECORD (Name as shown on deed, mailing address, phone and fax #)
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2) APPLICANT (Name, mailing address, phone and fax
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3) SIGN LOCATION (include business name, address, & phone ft
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) 7h? — oo / Z-C_�-
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION fez t� vPuc /%/•c �-Y /h __
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:
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
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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 VAL (if applicable):
10) Applicant Signature: Date:
11) Signature of Land/Building Owner: Date: w�
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Do not write below this line
Fee:
Code Officer Signature
Application: Rejected
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Date:
CATION MAP SCALE: 1"
PARKING LOT
@� PROPOSED LOCATION
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EXISTING SIGN
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