HomeMy WebLinkAboutPermit Permanent Sign SN-10-69 - HERITAGE PRINTPermit 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 #) 'E fir" — c�r►�G
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3) SIGN LOCATION (include business name, address, & phone #): 4 sK
4) TAX PARCEL ID # (can be obtained at Assessor's Office)
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5) SIGN ERECTOR (Name, mailing address, phone and fax #): t c_(e_-
7) DATE OF ERECTION
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
E-STANDING SIGN
such as panel or cut-out letter
1.
SIZE in sq. ft.: ?, S
2.
OVERALL HEIGHT:
SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
NUTS: A scaled rendenng of each proposed sign must be submitted illustrating the color of the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN RE IE ",?PROVA if app ' able
10) Applicant Signature: Date: 2� h
11) Signature of Land/Building Owner: cAm_/��ate: V G
Do not write below this line
Fee: App i ation: ecte ro
Code Officer Signature: Date: �� ��
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