HomeMy WebLinkAboutPermit Permanent Sign SN-10-78 - MERCHANTS BANKA
Permit Number SN-
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 #) 01 ere -" -6 13a dC
3) SIGN LOCATION (include business name, address, & phone ft /
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4) TAX PARCEL ID # (can be obtained at Assessor's Office)
5) SIGN ERECTOR Name, mailing address, phone and fax #):
7) DATE OF ERECTION Io � 4 `-0 t C)
S) SIGN DATA � C7 A% P 1 (I S1 - 4
WALL SIGNS (list size in sq. ft., it u ' ation, &type
such as panel or cut-out letter
FREE-STAN 1NG SIGN
1.
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
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 REV IE Ar ROVAL (if applicable):
10) Applicant Signature: w Date: q Z
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11) Signature of Land/Building Owner: L Date: 10 1 Z L l Zo � v
Do not write below this line
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Fee: AApp�icaAtion:ejected �l0Code Officer SignatureDate:
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LEGEND:
-- PROPERTY LINE
- - - FORMER PROPERTY LINE
TIE LINE
CURB LINE
POWER POLE
O IRON PIPE WITH SIZE FOUND
O 5 /6" REBAR WITH SURVEY
MARKER TO BE SET
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