HomeMy WebLinkAboutPermit Permanent Sign SN-10-71 - MARINE COLLECTIONPermit Number SN-Q �-
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 #) (11.Ut- t 0j,- CaC(ec fib,
3) SIGN LOCATION (include business name, address, & phone
4) TAX PARCEL ID # (can be obtained at Assessor's Office) / 8-/ d .- 0 3 0
5) SIGN ERECTOR (Name, mailing address, phone and fax #):
7) DATE OF ERECTION S 15
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
such as panel or cut-out letter
FREE-STANDING SIGN
1. CUB 6D-e' or 7 0 C
SIZE (in sq. ft.):
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NO YE: 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 APPRQVI!�L (if applicable):
10) Applicant Signature. `- Date: y' b O
11) Signature of LandBuilding Owner:[j� ` ate:
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Do not write below this line
Fee:Application: 'ect ppr
( Code Officer Signature: Date: /0 L10
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